Гинекология (Aug 2015)
Office hysteroscopy in the diagnosis and treatment of intrauterine pathology
Abstract
The main method of endometrial pathology diagnosis is outpatient ultrasonography (US) of the pelvic organs. Despite its high accuracy and specificity, false-positive or false-negative results, according to different authors, can occur in 20-30% of cases. To clarify the status of the cervix and uterus, as well as provide treatment ("see-and-treat" principle) in the outpatient setting it becomes possible with using office hysteroscopy. Carrying out such surgical procedures as an endometrial biopsy, separation walls and uterine adhesions, removal of polyps and submucous myomas, sterilization and removal of foreign bodies of the uterus is also possible. Each of these manipulations requires the use of standardized methods, allowing to reduce the operation time and improve the safety of the intervention. To reduce the risk of complications, it is important to observe a number of technical specifications relating to the situation of the patient, the characteristics of dilation of the uterus, and the rules for the use of electrosurgical equipment. Should these conditions be met, about 60% of all patients with endometrial pathology can be treated as outpatients.
