陳怡仁 台北榮總婦產部 Aug. 22. 2008. Hysteroscopy 2.7mm OD mini-telescopy, 105 degree,...
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Transcript of 陳怡仁 台北榮總婦產部 Aug. 22. 2008. Hysteroscopy 2.7mm OD mini-telescopy, 105 degree,...
![Page 1: 陳怡仁 台北榮總婦產部 Aug. 22. 2008. Hysteroscopy 2.7mm OD mini-telescopy, 105 degree, 3/5mm OD diagnostic sheath. Ultra-low pressure: simple drop form a.](https://reader036.fdocuments.net/reader036/viewer/2022062304/56649e2a5503460f94b18457/html5/thumbnails/1.jpg)
陳怡仁
台北榮總婦產部
Aug. 22. 2008
![Page 2: 陳怡仁 台北榮總婦產部 Aug. 22. 2008. Hysteroscopy 2.7mm OD mini-telescopy, 105 degree, 3/5mm OD diagnostic sheath. Ultra-low pressure: simple drop form a.](https://reader036.fdocuments.net/reader036/viewer/2022062304/56649e2a5503460f94b18457/html5/thumbnails/2.jpg)
![Page 3: 陳怡仁 台北榮總婦產部 Aug. 22. 2008. Hysteroscopy 2.7mm OD mini-telescopy, 105 degree, 3/5mm OD diagnostic sheath. Ultra-low pressure: simple drop form a.](https://reader036.fdocuments.net/reader036/viewer/2022062304/56649e2a5503460f94b18457/html5/thumbnails/3.jpg)
![Page 4: 陳怡仁 台北榮總婦產部 Aug. 22. 2008. Hysteroscopy 2.7mm OD mini-telescopy, 105 degree, 3/5mm OD diagnostic sheath. Ultra-low pressure: simple drop form a.](https://reader036.fdocuments.net/reader036/viewer/2022062304/56649e2a5503460f94b18457/html5/thumbnails/4.jpg)
![Page 5: 陳怡仁 台北榮總婦產部 Aug. 22. 2008. Hysteroscopy 2.7mm OD mini-telescopy, 105 degree, 3/5mm OD diagnostic sheath. Ultra-low pressure: simple drop form a.](https://reader036.fdocuments.net/reader036/viewer/2022062304/56649e2a5503460f94b18457/html5/thumbnails/5.jpg)
Hysteroscopy
2.7mm OD mini-telescopy, 105 degree, 3/5mm OD diagnostic sheath.
Ultra-low pressure: simple drop form a NS bag suspended 0.5M above the patient.
Intrauterine pressure : 40mm Hg.
![Page 6: 陳怡仁 台北榮總婦產部 Aug. 22. 2008. Hysteroscopy 2.7mm OD mini-telescopy, 105 degree, 3/5mm OD diagnostic sheath. Ultra-low pressure: simple drop form a.](https://reader036.fdocuments.net/reader036/viewer/2022062304/56649e2a5503460f94b18457/html5/thumbnails/6.jpg)
![Page 7: 陳怡仁 台北榮總婦產部 Aug. 22. 2008. Hysteroscopy 2.7mm OD mini-telescopy, 105 degree, 3/5mm OD diagnostic sheath. Ultra-low pressure: simple drop form a.](https://reader036.fdocuments.net/reader036/viewer/2022062304/56649e2a5503460f94b18457/html5/thumbnails/7.jpg)
![Page 8: 陳怡仁 台北榮總婦產部 Aug. 22. 2008. Hysteroscopy 2.7mm OD mini-telescopy, 105 degree, 3/5mm OD diagnostic sheath. Ultra-low pressure: simple drop form a.](https://reader036.fdocuments.net/reader036/viewer/2022062304/56649e2a5503460f94b18457/html5/thumbnails/8.jpg)
![Page 9: 陳怡仁 台北榮總婦產部 Aug. 22. 2008. Hysteroscopy 2.7mm OD mini-telescopy, 105 degree, 3/5mm OD diagnostic sheath. Ultra-low pressure: simple drop form a.](https://reader036.fdocuments.net/reader036/viewer/2022062304/56649e2a5503460f94b18457/html5/thumbnails/9.jpg)
Exam result
Disease No disease
Positive a b
Negative c d
Sensitivity a/a+c
Specificity d/b+d
Positive predictive value
a/a+d
Negative predicative value
d/c+d
Accuracy a+d/a+b+c+d
Likelihood ratio for positive result
Sensitivity / (1-specivity)
Likelihood ration for negative result
(1-sensivity) /specificity
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Conclusion
3D ultrasound and 3D power Doppler have been proposed to improve the specificity in suspected stromal cervical invasion.
Exclusion of cervical canal involvement: hysterospcy. Predicting cervical involvement: MRI. In presurgical work-up of patients affected by
endometrial carcinoma hysteroscopy and MRI may both be useful for staging and planning the correct surgical strategy.
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Thank YouThank You
Questions?