A Preliminary Study On HEOS Hysteroscopic Treatment Of AUB-P And AUB-L

Objectives:To discuss and analyze the feasibility and safety of HEOS hysteroscopic treatment for AUB-P and AUB-L.Methods:Total 38 patients with endometrial polyps and uterine submucous myoma according to auxiliary examinations who agreed to undergoing hysteroscopic surgery from May.2017 to Jan.2018 in the Department of Gynecology in The Second Affiliated Hospital of Soochow University.Divided in observation group and control group with different Hysteroscopy,recorded intraoperative blood loss,operation time,complications,and length of stay in both groups,compared the menstrual flow before and after surgery between two groups,the menstrual flow was assessed by PBAC,followed the disease recurrence and pregnancy status of all patients,each set of data were statistical analysis.Results:There were 10 endometrial polyps patients and 9 uterine submucous myoma patients in each group,the results of data analysis showed: In patients with endometrial polyps,the operative time was 25.13±1.63 min,the blood loss was 12.89±1.38 ml,the hospitalization time was 4.22±1.23 days in the observation group,and each item in the control group corresponds to 25.29±1.54 min,13.15±1.43 ml,4.15±1.35 days;In patients with uterine submucous myoma,the operative time was 35.15±1.53 min,the blood loss was 20.89±1.78 ml,the hospitalization time was 4.33±1.34 days in the observation group,and also each item in the control group corresponds to 35.29±1.64 min,20.15±1.68 ml,4.21±1.28 days,no statistical difference was found in the test.About the menstrual flow after surgery,the observation group was 182.99±27.77 ml and the control group was 183.98±28.56 ml in endometrial polyps patients,and corresponds to 194.97±25.22 ml and 196.72±26.45 ml,there is no statistical difference.Conclusion:In the HEOS hysteroscopic treatment for benign pathological changes of uterine cavity which using cold knife instruments,has a wider operating angle and tougher operation,and can avoid electrical heat damage to the endometrium.However,more evidence is needed to show its advantage over traditional resectoscopes.