探讨人工流产患者预防术后宫腔粘连的临床效果

发布时间：2018-05-23 06:47

本文选题：人流手术 + 宫腔粘连　；参考：《世界最新医学信息文摘》2016年98期

【摘要】：目的将透明质酸钠在预防人流手术后发生宫腔粘连的效果进行分析探讨。方法将本院在2014-2015年收治的人流手术的孕妇共计200例作为临床研究资料,将患者随机分为两组:实验组与对照组,每组有100例孕妇。在人流手术之后,对照组患者常规应用抗生素来预防感染,实验组患者则在子宫腔内注入1%的透明质酸钠注射液来预防感染的发生,比较两组孕妇在手术后的阴道流血时间、月经恢复时间、宫腔粘连的发生率。结果实验组患者阴道流血时间与月经复潮时间显著的低于对照组,经比较,有显著的统计学意义(P0.05)。经过3个月后的复诊,实验组患者的宫腔粘连发生率显著的比对照组患者要低,经比较,有显著的统计学意义(c2=7.039,P0.05)。全部患者在手术过程中与手术后均没有大出血与感染等情况发生。结论在人流手术之后,给患者在宫腔内应用透明质酸钠注射液,能够显著的预防宫腔粘连情况的发生,效果较好,值得在临床上推广应用。
[Abstract]:Objective to analyze the effect of sodium hyaluronate in preventing intrauterine adhesion after artificial abortion. Methods A total of 200 pregnant women treated in our hospital in 2014-2015 were randomly divided into two groups: experimental group and control group with 100 pregnant women in each group. After artificial abortion, the patients in the control group were routinely treated with antibiotics to prevent infection, while the patients in the experimental group were injected 1% sodium hyaluronate into the uterine cavity to prevent infection. Menstrual recovery time and incidence of intrauterine adhesions. Results the vaginal bleeding time and menstrual resuscitation time in the experimental group were significantly lower than those in the control group (P 0.05). After 3 months of follow-up, the incidence of intrauterine adhesions in the experimental group was significantly lower than that in the control group (P 0.05). No major bleeding or infection occurred during or after the operation. Conclusion the application of sodium hyaluronate injection in uterine cavity after artificial abortion can significantly prevent the occurrence of intrauterine adhesion and is worth popularizing in clinic.
【作者单位】：云南景洪市普文中心卫生院妇产科;
【分类号】：R169.42

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