TRANSCERVICAL RESECTION OF THE ENDOMETRIUM USING INTRACERVICAL BLOCK ONLY - A REVIEW OF 275 PROCEDURES

被引：9

作者：

FERRY, J ^{[1
]}

RANKI, L ^{[1
]}

机构：

[1] ST JOHNS HOSP DIS SKIN,DEPT OBSTET & GYNAECOL,LONDON WC2H 7BJ,ENGLAND

来源：

AUSTRALIAN & NEW ZEALAND JOURNAL OF OBSTETRICS & GYNAECOLOGY | 1994年 / 34卷 / 04期

关键词：

D O I：

10.1111/j.1479-828X.1994.tb01270.x

中图分类号：

R71 [妇产科学];

学科分类号：

100211 ;

摘要：

The objective of this study was to assess the efficacy and safety aspects of performing transcervical endometrial resection (T.C.R.E.) on a selected group of 278 patients with menstrual disorders under local analgesia (intracervical block) only. Patient acceptance of the procedure was high, with only 3 cases not completed due to insufficient analgesia (1.07%), although a further 9 (3.2%) were completed with the help of intravenous sedation. Patient satisfaction at 4 months was 90%. There were 4 perforations (1.4%), but no laparotomy was required. Five cases (1.7%) of haemorrhage required a Foley catheter, with 1 needing a transfusion. There was no case of clinically evident glycine overload. Twelve patients required an overnight stay. Patient acceptance of T.C.R.E. under local analgesia, and the incidence of major complications, compared favourably with other published series, including a series of 330 cases performed concurrently by the same operators under general anaesthesia.

引用

页码：457 / 461

页数：5

共 12 条

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