目的：探讨加压输液袋替代膨宫仪在宫腔镜检查中的可行性。方法选择2013年1月~2014年1月本院接收并行宫腔镜检查的患者300例，随机分为两组，每组150例。 A组给予膨宫仪膨宫，B组给予加压输液袋膨宫。观察比较两组膨宫的效果、宫腔镜检查清晰度、检查时间及材料成本。结果两组患者宫腔均处于满意的膨胀状态，视野清晰，成功完成了宫腔镜检查，B组较A组预期效果好。 A组操作复杂、成本高，B组操作较简单、成本低。 A组宫腔镜检查时间与B组比较，差异无统计学意义(P>0.05)，B组患者膨宫液用量明显少于A组(P<0.05)，两组患者均无明显不良反应发生。结论加压输液袋在宫腔镜检查中操作简便，安全，经济实惠，材料来源方便，显著减轻患者家庭的经济负担和社会负担，具有较好的社会效益和经济效益，值得临床推广应用。%Objective To investigate the feasibility of pressure infusion bags instead of uterine distention apparatus in hysteroscopy. Methods 300 patients undergoing hysteroscopy in our hospital from January 2013 to January 2014 were selected as the object,and were randomly divided into two groups,each group of 150 cases.Group A was used for uterine distention apparatus,group B was used for uterine distending pressure infusion bag.The effect uterine swelling,hys-teroscopy clarity,inspection time and material costs between two groups was observed. Results Two groups of patients with uterine cavity were in a satisfactory expansion,the visual field of clear,successfully completed hysteroscopy.Group B was better than group A.The operation of group A was complex and the cost was high,and the operation of group B was simple and the cost was low.The hysteroscopy time between two groups was not statistical differenc (P>0.05).The dosage of bentonite in Group B was significantly less than that of group A(P<0.05),There were no obvious adverse reac-tions between two groups. Conclusion Pressurized infusion bag in hysteroscopy has the advantages of simple operation, security,economic benefits,sources of material convenient,can significantly reduce the economic burden and social bur-den on patients and their families,with good social and economic benefits.It is worth of clinical application.
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