宫腔观察吸引手术系统、经阴道B超引导与传统人流吸宫术在人工流产中的应用对比

发布时间：2018-02-21 16:44

本文关键词： 宫腔吸引 B超引导人工流产　出处：《实用医学杂志》2017年11期 　论文类型：期刊论文

【摘要】：目的:通过宫腔观察吸引手术系统、经阴道B超引导人流吸宫术与传统人流吸宫术回顾性对比性研究,评估这3种方法在人流术中的有效性和安全性。方法:宫腔观察吸引手术系统人流术(宫腔观察组)525例,经阴道B超引导人流吸宫术(B超引导组)500例,传统人流吸宫术(传统人流组)500例,对3组人流术患者及高危患者的手术时间、术中出血量、术后出血时间(d)、术中和术后并发症发生率进行比较。结果:宫腔内观察组、B超引导组和传统人流组及各组高危患者的手术时间、出血量、术后出血时间、吸宫不全作3组间相互比较,P0.05;子宫穿孔3组相互比较,P0.05。3组均无漏吸。结论:宫腔观察吸引手术系统人流术在缩短手术时间、减少术中出血量和术后出血时间、降低月经过少、宫颈黏连、宫腔黏连发生率及二次手术发生率方面均优于传统人流术及经阴道B超引导人流吸宫术。宫腔观察吸引手术系统更有利于高危的人流患者。
[Abstract]:Objective: to observe the suction operation system in uterine cavity, and to compare the results of transvaginal ultrasound guided hysterectomy with that of traditional abortion. Methods: to evaluate the efficacy and safety of these three methods in the operation of artificial abortion. Methods: the uterine cavity observation group (525 cases) and the transvaginal ultrasound guided hysteroscopy group (500 cases) were observed. Traditional abortion and hysterectomy (500 cases of traditional abortion group, 3 groups of patients and high risk patients with surgery time, intraoperative blood loss, The postoperative bleeding time, intraoperative and postoperative complications were compared. Results: the operative time, bleeding volume and postoperative bleeding time of the patients in intrauterine observation group, B-ultrasound guided group, traditional abortion group and each group were compared. There was no leakage in uterine perforation group (P 0.05.3). Conclusion: the intrauterine observation of suction system can shorten the operation time, reduce the amount of bleeding during operation and the bleeding time after operation, and reduce the menstruation too little. The incidence of cervical adhesion, intrauterine adhesion and secondary surgery were superior to those of traditional abortion and transvaginal ultrasound guided hysteroscopy, and the observation of suction system in uterine cavity was more beneficial to the patients with high risk of abortion.
【作者单位】：广州医科大学附属第二医院;
【分类号】：R169.42

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