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        부인과영역에 있어서 자궁내관경에 대한 임상적 관찰

        민부기(BG Min),홍석호(SH Hong),유성현(SH Yoo),박영선(YS Park) 대한산부인과학회 1982 Obstetrics & Gynecology Science Vol.25 No.2

        Hysteroscopy has added a new dimension to the management of patient with common clinical problems, increasing the accuracy of diagnosis and serving as an adjunct in treatment of intrauterine conditions. Here, we have studied differential aspects of approching in the hysteroscopic observation to the uterine cavity with 95 cases. The study was conducted at department of Obstetrics and Gynecology, Eul-Ji General Hospital in period of 20 months from Dec., 1978 to June., 1980. 1. The most popular age group for hysteroscopy was in age of 31-35 years. 2. As the anesthesia for hysteroscopy, general analgesia was used successfully in 72 cases, and paracervical block was used in remainder cases. 3. The time required for diagnostic hysteroscopy was taken 10-15 minutes in 36 cases(37.9%). 4. The most common indications for hysteroscopy were abnormal uterine bleeding in 43 cases, intrauterine adhesion in 23 cases and infertility in 18 cases. 5. On the abnormal uterine bleeding in women during the reproductive ages, cervical and endometrial polyp were most common in 13 cases of the 32 cases. 6. On the abnormal uterine bleeding in postmenopausal women, endometrial hyperplasia was most common in 5 cases of the 11 cases. 7. Intrauterine adhesions were classified into the 3 types as diffuse, 11 cases, central type 5 cases, and marginal type 7 cases. 8. On hysteroscopic finding of infertile women, unexplained infertility with normal uterine cavity was most common in 10 cases of the 18 cases. 9. Abnormal uterine cavity of infertile women was seen in 8 cases of the 18 cases. 10. Complicaions on hysteroscopy were occurred in 9 cases of all 95 cases, as uterine perforation, infection and profuse uterine bleeding.

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