| | SLO | ENG | Cookies and privacy

Bigger font | Smaller font
First page > Show document

Show document Help

Title:PREHAJANJE TEKOČINE V MALO MEDENICO PRI HISTEROSKOPIJI
Authors:ID Šiftar Palancsai, Janka (Author)
ID Takač, Iztok (Mentor) More about this mentor... New window
Files:.pdf DOK_Palancsai_Siftar_Janka_2018.pdf (1,68 MB)
MD5: 5855D45AE0D218A8BED7CBED57173A3C
PID: 20.500.12556/dkum/df1b82fc-3ead-4ac6-b4fd-cf76ae20b522
 
Language:Slovenian
Work type:Doctoral dissertation
Organization:MF - Faculty of Medicine
Abstract:Pri histeroskopiji (HSC) potrebujemo dotok medija, ki pod pritiskom širi maternično votlino. Najpogosteje uporabljamo tekočinski medij, ki deloma zastaja v telesu kot tekočinski deficit. Volumen deficita določata volumen absorbiranega tekočinskega medija v sistemsko cirkulacijo in volumen tekočine, ki se med HSC izlije skozi jajcevode v trebušno votlino. Posledica prekomernega deficita tekočinskega medija pri HSC so lahko življenjsko nevarni zapleti. V raziskavi smo ocenili volumen in hitrost pretoka tekočinskega medija, ki pri HSC prehaja skozi jajcevode v predmenopavznem in pomenopavznem obdobju, da bi bolje razumeli fiziologijo in možen nastanek zapletov ob uporabi tekočinskega medija pri HSC. Bolnice in metode. V prospektivno raziskavo smo vključili 117 bolnic. Preiskovanke smo razdelili v sku-pino predmenopavznih (n = 84) in skupino pomenopavznih (n = 33). Volumen tekočine v mali medenici smo merili z dvodimenzionalnim transvaginalnim ultrazvokom pred HSC in po njej. Pri preiskavi smo ocenili vpliv dolžine trajanja posega, volumen dovedene tekočine in vrsto posega na prehodnost medija skozi jajcevode ob uporabi enakomernega pritiska medija. Vse vplive smo primerjali tudi med skupinama. Rezultati. Pred HSC smo v mali medenici pri skupini pomenopavznih bolnic izmerili 0,3 ± 0,1 mL, p = 0,007) tekočine, v skupini predmenopavznih pa 1,1 ± 0,3 mL tekočine, razlika je statistično pomembna (p < 0,05). Skozi jajcevode je v skupini pomenopavznih bolnic prešlo 7,7 ± 2,4 mL, v predmenopavzni skupini pa 26,0 ± 4,2 mL tekočine. Razlika je statistično pomembna (p < 0,05). Dolžina trajanja posegov je v predmenopavzni skupini 17,3 min in v pomenopavzni skupini 20,2 min (p < 0,05), pri volumnu dovedene tekočine med skupinama ni statistično pomembne razlike. Pri primerjavi tekočinskega medija, ki je prešel skozi jajcevode med različnimi posegi v celotni skupini, ni statistično pomembne razlike. Zaključki. Predmenopavzne bolnice imajo več proste tekočine v mali medenici kakor pomenopavzne bolnice. Prav tako pri HSC prehaja pri predmenopavznih bolnicah skozi jajcevode večji volumen tekočin-skega medija z višjo hitrostjo.
Keywords:histeroskopija, obseg tekočinskega razlitja, tekočina v trebušni votlini, transvaginalni ultrazvok, zapleti s tekočinskim medijem
Place of publishing:Maribor
Year of publishing:2018
PID:20.500.12556/DKUM-67115 New window
COBISS.SI-ID:297036288 New window
NUK URN:URN:SI:UM:DK:UP2QXROX
Publication date in DKUM:30.10.2018
Views:2243
Downloads:180
Metadata:XML DC-XML DC-RDF
Categories:MF
:
Copy citation
  
Average score:(0 votes)
Your score:Voting is allowed only for logged in users.
Share:Bookmark and Share



Hover the mouse pointer over a document title to show the abstract or click on the title to get all document metadata.

Licences

License:CC BY-NC-ND 4.0, Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International
Link:http://creativecommons.org/licenses/by-nc-nd/4.0/
Description:The most restrictive Creative Commons license. This only allows people to download and share the work for no commercial gain and for no other purposes.
Licensing start date:02.08.2017

Secondary language

Language:English
Title:The Passage of Fluid into the Douglas Cavity during Hysteroscopy
Abstract:Introduction. In order to perform hysteroscopies (HSC), we need a flow of medium that expands the uterine cavity under pressure. Most commonly during HSC, the fluid is partially retained in the the body, this is also named the volume deficit. The volume deficit is determined by the volume of the absorbed fluid medium in the systemic circulation and the fluid volume flowing out of the body through the fallopian tubes during HSC. As a consequence of volume disbalance, HSC can lead to life-threatning complications. In this study we asses the volume and flow rate of fluid which passes through the fallopian tubes in pre- and postmenopausal women in order to better understand the physiology and the possible occurrence of complications using a fluid medium in HSC. Patients and methods. This prospective study included 117 patients. Eightyfour (n = 84) women were premenopausal and 33 patients were in the postmenopausal group. Measurements of the residual volume in the pelvis were conducted using a two-dimensional transvaginal ultrasound (TVUS) prior and after HSC. During the procedure, the procedure duration as well as supplied fluid volume was measured. The procedure was performed in a steady pressured environment. All parameters were analysed in the pre- and postmenopausal group. Results. Before HSC, the amount of the free fluid was 0.3 mL in the premenopausal and 1.1mL of free fluid in the postmenopausal group. The difference between groups was statistically significant (p < 0.05). Transtubal fluid leakage in the postmenopausal group is 7.7 mL and 26.0 mL in the premenopausal group. This difference was statistically significant (p < 0.05), although transtubal leakage depends on the intervention´s duration, which is longer in the postmenopausal group (20.2 min) than in the premeno-pausal group it is 17.3 min (p < 0.05). Conclusions. Premenopausal patients have more free baseline pelvic fluid in the Douglas cavity than postmenopausal patients. Moreover, during HSC in premenopausal patients, more fluid with subsequently higher flow rate flows through the Fallopian tubes.
Keywords:hysteroscopy, volume of fluid spill, peritoneal fluid, transvaginal ultrasonography, distending media complications.


Comments

Leave comment

You must log in to leave a comment.

Comments (0)
0 - 0 / 0
 
There are no comments!

Back
Logos of partners University of Maribor University of Ljubljana University of Primorska University of Nova Gorica