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    Please use this identifier to cite or link to this item: http://ir.cnu.edu.tw/handle/310902800/29654

    標題: Safety and efficacy of manual syringe infusion of distending media for hysteroscopic procedures: a case-control study
    作者: Ting, Wan-Hua
    Lin, Ho-Hsiung
    Wu, Ming-Ping
    Tu, Fung-Chao
    Peng, Fu-Shiang
    Hsiao, Sheng-Mou
    貢獻者: 通識教育中心
    關鍵字: Hysteroscopy
    Fluid overload
    日期: 2015-08
    上傳時間: 2016-04-19 19:03:27 (UTC+8)
    出版者: Elsevier Science Bv
    摘要: Objectives: Adverse events associated with large volumes of distending media in hysteroscopic procedures can be life-threatening. The aim of this study was to evaluate the safety and efficacy of manual syringe infusion (MI) of distending media for hysteroscopic procedures.Study design: Between January 2011 and December 2013, the medical records of all women who underwent hysteroscopic procedures using MI or the conventional pump-infusion method (PI, the control group) were reviewed. The Wilcoxon rank-sum test, the Chi-square test and the multivariate logistic regression analysis were employed for statistical analysis.Results: The MI group (n = 82) had a significantly lower average volume of infused fluid (1117 +/- 712 mL vs. 2216 +/- 1502 mL, respectively; p < 0.001), less operative time (22.2 +/- 9.7 vs. 30.4 +/- 9.8 min, respectively; p < 0.001) and lower postoperative abdominal pain scores (0.6 +/- 0.7 vs. 0.8 +/- 0.7, respectively; p = 0.04) than the PI group (n = 58). Subgroup analysis of women who underwent hysteroscopic myomectomy revealed a significantly lower amount of infused fluid for the MI group than for the PI group (1737 +/- 905 mL vs. 3441 +/- 1952 mL, respectively; p = 0.001). Infused fluid amount (coefficient = 0.08, p < 0.001) was the only significant independent factor affecting fluid deficit, with a constant of 76.1.Conclusion: The MI method appears to be a safe and feasible method for delivering distending media during hysteroscopic procedures. (C) 2015 Elsevier Ireland Ltd. All rights reserved.
    Appears in Collections:[通識教育中心] 期刊論文

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