PDF(Pubmed)
Abstract：
As an emerging surgical technology, tissue removal systems have been widely used in the treatment of endometrial polyps due to its characteristics of less endometrial damage, shorter learning curve and clearer vision of the operative field. There are few cases in the literature reporting serious complications after endometrial polypectomy using tissue removal systems. As known, septic shock is a rare complication following hysteroscopic polypectomy. Now, we present the case of a 23-year-old woman who developed septic shock after polypectomy with tissue removal system. The patient had a history of recurrent vaginitis for more than half a year. Due to endometrial polyps, she was admitted to our hospital and scheduled to undergo hysteroscopic endometrial polypectomy. Three hours after the endometrial polypectomy using the tissue removal system, the patient had shock symptoms such as increased body temperature, decreased blood pressure and increased heart rate. Then, the patient was successfully treated and discharged after anti-infection and anti-shock treatments. The purpose of this case report is to remind clinicians to consider the possibility of serious infection and comprehensively evaluate the risk of infection before choosing hysteroscopic devices for endometrial polyps, especially for patients who choose the mechanical hysteroscopic tissue removal systems. Furthermore, the mechanical hysteroscopic tissue removal systems should be used with caution in patients with previous recurrent vaginitis.
摘要：
作为一种新兴的外科技术,组织切除系统由于其对子宫内膜损伤小的特点,已广泛应用于子宫内膜息肉的治疗,更短的学习曲线和更清晰的手术视野。文献中很少有病例报道使用组织去除系统进行子宫内膜息肉切除术后的严重并发症。众所周知,脓毒性休克是宫腔镜息肉切除术后的罕见并发症。现在,我们介绍了一例23岁女性,她在使用组织切除系统进行息肉切除术后出现感染性休克.患者有复发性阴道炎超过半年的病史。由于子宫内膜息肉,她被我们医院收治，并计划接受宫腔镜子宫内膜息肉切除术。使用组织去除系统进行子宫内膜息肉切除术后三小时，患者有体温升高等休克症状，血压下降，心率加快。然后，患者经抗感染和抗休克治疗后成功治疗出院。本病例报告的目的是提醒临床医生在选择宫腔镜治疗子宫内膜息肉前，考虑严重感染的可能性，综合评估感染的风险，特别是对于选择机械宫腔镜组织切除系统的患者。此外，既往复发性阴道炎患者应谨慎使用机械宫腔镜组织切除系统.
