The application value of 5 Fr non-contact hysteroscopy in the diagnosis and treatment of intrauterine diseases in perimenopausal and postmenopausal women

Abstract

Objective To explore the application value of 5 Fr non-contact hysteroscopy in the diagnosis and treatment of intrauterine diseases in perimenopausal and postmenopausal women. Methods A total of 200 perimenopausal and postmenopausal patients who were to undergo hysteroscopy for intrauterine diseases from October 2022 to January 2024 were selected as the research objects, and the clinical data were retrospectively analyzed. According to the different treatment methods, these subjects were divided into a 5Fr non-contact hysteroscopic group (5Fr group) and a traditional hysteroscopic group (traditional group), with 100 cases in each group. The surgery-related indicators, postoperative-related indicators, intraoperative/postoperative disease diagnosis, and satisfaction of the patients in the two groups were compared. Results Compared with the traditional group, the examination time of the 5Fr group was significantly shortened, and the proportion of intraoperative bleeding ≤ 5 mL was significantly increased ( P < 0.05). Compared with the traditional group, the proportion of abnormal heart rate/blood pressure and nausea/vomiting, and pain score were significantly reduced in the 5Fr group ( P < 0.05), while the proportion of postoperative bleeding time ≤ 1 week and postoperative abdominal pain time ≤ 2 h were significantly increased in the 5Fr group ( P < 0.05). The satisfaction rate of the 5Fr group was 91.00% (41.00% relatively satisfied + 50.00% very satisfied), which was much higher than 75% (37.00% relatively satisfied + 38.00% very satisfied) in the traditional group ( P < 0.05). Conclusion 5Fr non-contact hysteroscopy had similar clinical effects to the traditional hysteroscopy, and the 5Fr non-contact hysteroscopy technology made up for the shortcomings of the traditional hysteroscopy, which could significantly reduce the pain and intraoperative bleeding of patients, and improve patient satisfaction. Supplementary Information The online version contains supplementary material available at 10.1186/s12893-024-02680-0.