国际妇产科学杂志

国际妇产科学杂志 ›› 2012, Vol. 39 ›› Issue (5): 409-412.

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做一位优秀的宫腔镜医生

夏恩兰   

  1. 100038 北京,首都医科大学附属复兴医院宫腔镜诊治中心
  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2012-10-15 发布日期:2012-10-15

To Be a Good Hysteroscopist

XIA En-lan   

  1. Hysteroscopic Center，Fu Xing Hospital，Capital Medical University，Beijing 100038，China
  • Received:1900-01-01 Revised:1900-01-01 Published:2012-10-15 Online:2012-10-15

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摘要： 宫腔镜是当代微创外科的主流技术之一，已逐步成为许多妇科疾病诊断的金标准和手术治疗的新模式。因整复性宫腔镜手术具有不可修复性，宫腔镜空气栓塞并发症可致猝死。为避免不良事件发生，从事宫腔镜的医生必须经过专业培训，熟悉超声介入、膨宫灌流、麻醉监护、视频效果、设备和器械的性能与操作要求，同时掌握腹腔镜技术，重视并实施宫腔镜的术前预处理，警惕和预防宫腔镜手术严重并发症，经过培养和锻炼，成为优秀的宫腔镜医生。

关键词: 宫腔镜检查, 电外科手术, 手术后并发症, 超声检查, 预处理

Abstract: Hysteroscopy is one of the contemporary mainstream technology of minimally invasive surgery. It has been become gold standard diagnosis method and new surgical treatment model of gynecological diseases. It is no repair chance for hysteroscopic uterine renaturation surgery. Hysteroscopic air embolism complication can cause sudden death. In order to avoid adverse events，hysteroscopist not only must go through professional training， familiar with ultrasonic intervention， distension and irrigation of uterus， anesthesia monitoring， video effect， equipment and instrument performance and operating requirements， but also master laparoscopic technology. Hysteroscopist has to pay attention and carry out preoperative pretreatment of hysteroscopic surgery， to alert and prevent serious complications of hysteroscopic surgery. Through training and exercise， doctors can be a good hysteroscopist.

Key words: Hysteroscopy, Electrosurgery, Postoperative complications, Ultrasonography, Pretreatment