COMMENTS OF HYSTEROSCOPY SURGERY IN THE TREATMENT OF SOME FREQUENTLY UTERINE LESIONS AT A THAI NGUYEN HOSPITAL

Nguyễn Kim Huệ1,, Lê Hoàng2
1 Hospital A Thai Nguyen
2 Tâm Anh Hospital

Main Article Content

Abstract

Objective: Describe hysteroscopy images and some interventions during hysteroscopy. Subjects and research methods: A cross-sectional descriptive study of 208 patients undergoing hysteroscopy to treat lesions at the Department of Obstetrics and Gynecology, A Thai Nguyen Hospital, from January 2020 to December 2021. Result: Uterine lesions on laparoscopy: 88.4% polyps, 5.3% uterine adhesions, 3.4% uterine mucosal hyperplasia and 2.9% submucosal fibroids. Uterine polyps treated with electrocautery ablation accounted for 83.7%, and accounted for 16.3% with laparoscopic morcellation. Submucosal fibroids were treated with tumor resection, accounting for 83.3%, 16.7% without intervention. Adhesions of the uterus are treated by laparoscopic removal for 27.3%, and 72.3% of adhesions by laparoscopic instruments. Conclusion: Common lesions are uterine polyps, submucosal fibroids, uterine adhesions, and endometrial hyperplasia. Among them, the most common lesion is uterine polyp. These lesions are treated with endoscopic instruments and have few complications.

Article Details

References

1. Đặng Thị Minh Nguyệt (2009). Soi Buồng Tử Cung và Các Bệnh Lý Buồng Tử Cung. Nhà xuất bản Y học, Hà Nội;
2. Đặng Thị Hồng Thiện (2008). Tình Hình Soi Buồng Tử Cung ở Các Bệnh Nhân vô Sinh Tại BVPSTW Năm 2008. Luận văn tốt nghiệp CK II. Trường đại học Y Hà Nội.
3. Sarvi F, Alleyassin A, Aghahosseini M, Ghasemi M, Gity S.Turk J. 2016, “Hysteroscopy: A necessary method for detecting uterine pathologies in post-menopausal women with abnormal uterine bleeding or increased endometrial thickness”, Obstet Gynecol, pp 183-188.
4. Nguyễn Đức Hinh NQT, Nguyễn Thùy Nhung (2018). Phẫu thuật nội soi trong sản phụ khoa. Nhà xuất bản Y học.
5. Nguyễn Minh Thuyết (2013), “Nghiên cứu kết quả của soi buồng tử cung trong chẩn đoán và xử trí một số tổn thương tại buồng tử cung trong điều trị vô sinh”, Luận văn tốt nghiệp thạc sỹ y học.
6. Barbot J. DJB, Parent. Hystéroscopie. In: EMC 72 A10; 1994:1-16.
7. Valle. Rafael F (1996), “Lysis of intrauterine adhesions (Asherman`s syndrome)”, Endoscopic surgery for gynaecologist, p 338-344.
8. Hassa H., Tekin B., Senses T., et al (2006). Are the site, diameter, and number of endometrial polyps related with symptomatology? American Journal of Obstetrics & Gynecology, 194(3), 718–721.