Safety and efficacy of manual syringe infusion of distending media for hysteroscopic procedures: a case-control study

doi:10.1016/j.ejogrb.2015.06.003

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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 Complications
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.
關聯:	European Journal of Obstetrics & Gynecology And Reproductive Biology, v.191, pp.112-115
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