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目的探讨宫腔镜在不全流产治疗中的应用价值。方法不全流产患者300例,随机分为观察组与对照组各150例,观察组给予宫腔镜下妊娠残留物摘除术或宫腔镜下清宫术,对照组行常规清宫术,比较两组患者手术情况及疗效。结果观察组治愈率显著高于对照组(P﹤0.01);观察组手术时间及术中出血量均显著低于对照组(P﹤0.01);术后3周观察组子宫内膜厚度显著高于对照组(P﹤0.01);术后月经恢复时间观察组显著短于对照组(P﹤0.01),术后宫腔粘连发生率观察组显著低于对照组(P﹤0.05)。结论宫腔镜治疗不全流产疗效确切,同时可更好的保护子宫内膜,创伤小,术后恢复快,但需熟练操作,严防严重并发症的发生。
Objective To explore the value of hysteroscopy in the treatment of incomplete abortion. Methods 300 cases of incomplete abortion patients were randomly divided into observation group and control group of 150 cases, the observation group were given hysteroscopic residual excision of pregnancy or hysteroscopic curettage, the control group underwent routine curettage, compared two groups of patients Surgical situation and curative effect. Results The cure rate in the observation group was significantly higher than that in the control group (P <0.01). The operation time and blood loss in the observation group were significantly lower than those in the control group (P <0.01). The thickness of the endometrium in the observation group was significantly higher than that of the control group (P <0.01). The postoperative menstruation recovery time was significantly shorter in the observation group than in the control group (P <0.01). The incidence of intrauterine adhesions in the observation group was significantly lower than that in the control group (P <0.05). Conclusion Hysteroscopic treatment of incomplete abortion curative effect is exact, at the same time can better protect the endometrium, trauma, postoperative recovery fast, but required skilled operation to prevent the occurrence of serious complications.