宫腔镜膨宫压力的探讨

A STUDY ON THE DIFFERENT PRESSURES USED FOR DISTENSION OF THE UTERINE CAVITY DURING HYSTEROSCOPY

在６００例宫腔镜检查中。用两种不同的膨宫压力１６－２４ｋＰａ（１２０～１８０ｍｍＨｇ）和２９～３３ｋＰａ（２２０～２５ＯｍｍＨｇ）作比较。结果表明，高压组具有膨宫快、用液少及术后并发症少，输卵管开口可见率高，手术时间短等优点。认为只要操作熟练，膨宫压力可高达３３ｋＰａ。

Six hundreds of hysteroscopies have been performed in our hospital since 1987 under different pressures used to distend the uterine cavity.Half of the 600 cases were carried out under pressures ranging from 29 to 33 kPa (220～250mmHg)and the other half,16～24kPa (120～180mmHg).It was found that in the former group the uterine cavity was more rapidly distended with less amount of the fluid medium used,a shorter operative time,a higher rate of visualization of the tubal orifices and a lower rate of post-operative complicatious;the differences between the two groups were statistically significant.