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Case | Date | Theme of TR | Diagnosis | Focus | Dominant | Tools |
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1 | 2018.8 | Indications and contraindications of hysteroscopic surgery | Dysfunctional bleeding, endometrial thickening | Treatment and diagnostic value of hysteroscopy in endometrial diseases and submucosal fibroids; patients with the poor general condition are a contraindication for hysteroscopy | Resident, S1 | PPT |
Test 1: Treatment and diagnostic value of hysteroscopy in endometrial diseases? |
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2 | 2018.10 | Hysteroscopic surgical procedure and instrument assembling | Endometrial polyps | Hysteroscopic procedures: Disinfection, dilatation of the cervix, etc. After observing the location of endometrial polyps, clamp the endometrial polyps by an oval clamp | Resident, S2 | Video, PPT |
Test 2: Hysteroscopic procedures. |
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3 | 2018.12 | Hysteroscopic resection of uterine submucosal fibroids | Uterine submucosal fibroids | Cut the submucosal fibroids in the uterine cavity by an electrode ring | Residents S3 | Video, PPT |
PBL questions: |
(1) What is the indication and complication of using the electric-cutting function of hysteroscopic surgery? |
(2) How to prevent the complication of using the electric-cutting function of hysteroscopic surgery? |
(3) How to use the electric-cutting function of the hysteroscopic device? |
Test 3: Indication and complication of using the electric-cutting function of the hysteroscopic device. |
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4 | 2019.2 | Treatment of hysteroscopic complications | Postmenopausal endometrial thickening | Slowly dilate the cervix, explore the location of the uterus, etc. to prevent uterine perforation | Residents S4 | PPT |
Test 4: Treatment of hysteroscopic complications. |
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5 | 2019.4 | Problem-based learning (PBL) discuss | Endometrial cancer | Scratch gently to prevent uterine perforation, control the pressure of the uterine cavity to prevent tumor tissue from escaping through the fallopian tube | Residents S5 | Video, PPT |
PBL questions: |
(1) How to prevent uterine perforation? |
(2) If uterine perforation happened in hysteroscopic produce, how to solve? |
(3) How to communicate with patients and their families to explain the complications? |
Test 5: How to prevent uterine perforation? |
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6 | 2019.6 | The impact of hysteroscopy on the diagnosis of mediastinal uterus | Mediastinal uterus | Perform MRI examination in advance | Resident, S1 | PPT |
Homework: |
(1) What is the impact of hysteroscopy on the diagnosis of the mediastinal uterus? |
(2) How to resect mediastinal uterus? |
Test 6: The impact of hysteroscopy on the diagnosis of mediastinal uterus |
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