CAJ | 학술논문

目的：探讨输液加压袋联合输血器在宫腔镜检查中膨宫的可行性及安全性。方法194例进行宫腔镜检查患者，随机分为两组，观察组100例采用输液加压袋+输血器进行膨宫检查，对照组94例采用液体膨宫机进行膨宫检查。观察两种方法在宫腔镜检查中是否存在差异，进而推论输液加压袋+输血器在宫腔镜检查中膨宫是否可行及值得推广。结果两种方法均能提供良好恒定的宫腔压力，可清楚观察整个宫腔形态及双侧输卵管开口情况，无一例出现不良反应。在检查时间方面无明显差异，膨宫用液量方面对照组浪费较多，且液体膨宫机价格昂贵，在基层医院难以购买多台，而观察组的输液加压袋+输血器价格便宜，且操作简单。结论输液加压袋+输血器在宫腔镜检查中膨宫是可行及安全的，值得推广。
목적：탐토수액가압대연합수혈기재궁강경검사중팽궁적가행성급안전성。방법194례진행궁강경검사환자，수궤분위량조，관찰조100례채용수액가압대+수혈기진행팽궁검사，대조조94례채용액체팽궁궤진행팽궁검사。관찰량충방법재궁강경검사중시부존재차이，진이추론수액가압대+수혈기재궁강경검사중팽궁시부가행급치득추엄。결과량충방법균능제공량호항정적궁강압력，가청초관찰정개궁강형태급쌍측수란관개구정황，무일례출현불량반응。재검사시간방면무명현차이，팽궁용액량방면대조조낭비교다，차액체팽궁궤개격앙귀，재기층의원난이구매다태，이관찰조적수액가압대+수혈기개격편의，차조작간단。결론수액가압대+수혈기재궁강경검사중팽궁시가행급안전적，치득추엄。
Objective To investigate the feasibility and safety of infusion compression bag and blood transfusion apparatus for uterine cavity expansion in hysteroscopy. Methods A total of 194 cases undergone hysteroscopy were randomly divided into two groups. The observation group with 100 cases underwent hysteroscopy by infusion compression bag and blood transfusion apparatus, and the control group with 94 cases underwent hysteroscopy by automatic liquid uterine cavity expansion machine. Observation of the difference between the two groups was made, in order to explore the possibility of applying infusion compression bag and blood transfusion apparatus for uterine cavity expansion in hysteroscopy. Results Treatment methods in two groups provided good and constant uterine cavity pressure, which could provide clear observation on uterine cavity form and openings of bilateral fallopian tubes. There was no adverse reactions occurred. The difference between inspection times was not significant. The control group consumed more uterine cavity expansion liquid, and automatic liquid uterine cavity expansion machine was too expensive to be widely applied in primary hospitals. On the contrary, the method of infusion compression bag and blood transfusion apparatus used in the treatment group was low-cost and easily operational. Conclusion Application of infusion compression bag and blood transfusion apparatus for uterine cavity expansion in hysteroscopy is feasible and safe, and it is worthy of promotion.