PDF(Pubmed)
Abstract：
Background: Hysteroscopy currently represents the gold standard for the diagnosis and treatment of intrauterine pathologies. Recent technological progress has enabled the integration of diagnostic and operative time, leading to the \"see and treat\" approach. Diode laser technology is emerging as one of the most innovative and intriguing techniques in this context. Methods: A comprehensive search of the literature was carried out on the main databases. Only original studies reporting the treatment of intrauterine pathologies using diode laser were deemed eligible for inclusion in this systematic review (PROSPERO ID: CRD42023485452). Results: Eight studies were included in the qualitative analysis for a total of 474 patients undergoing laser hysteroscopic surgery. Eighty-three patients had female genital tract abnormalities, 63 had submucosal leiomyomas, 327 had endometrial polyps, and one patient had a scar pregnancy. Except for leiomyomas, whose technique already included two surgical times at the beginning, only seven patients required a second surgical step. Cumulative rates of intraoperative and postoperative complications of 2.7% and 0.6%, respectively, were reported. Conclusions: Diode laser through \"see and treat\" hysteroscopy appears to be a safe and effective method. However, additional studies with larger sample sizes and improved designs are needed to consolidate the evidence currently available in the literature.
摘要：
背景：宫腔镜目前是诊断和治疗宫内病变的金标准。最近的技术进步使诊断和手术时间一体化，导致“看和治疗”的方法。在这种情况下，二极管激光技术正在成为最具创新性和耐人寻味的技术之一。方法:对主要数据库进行文献综合检索。只有报告使用二极管激光治疗宫内病变的原始研究被认为符合纳入本系统评价的条件（PROSPEROID：CRD42023485452）。结果：共纳入8项研究，共474例激光宫腔镜手术患者。83例女性生殖道异常,63例粘膜下平滑肌瘤，327子宫内膜息肉,还有一个病人有疤痕妊娠.除了平滑肌瘤,他们的技术在开始时已经包括了两次手术，只有7名患者需要进行第二次手术。术中和术后并发症的累积率为2.7%和0.6%，分别,被报道。结论：通过“观察和治疗”宫腔镜检查的二极管激光似乎是一种安全有效的方法。然而,需要更多的样本量和改进设计的研究来巩固文献中现有的证据.
