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早孕人流术为简单常见的手术,但可发生包括子宫穿孔在内的并发症,其发生率为0.8～6.4‰,只有腹腔脏器被牵出或器械超越宫腔方可确诊,因缺少盆腔直视检查,子宫穿孔的诊断多为可疑性者。作者对6408例早孕包括3例葡萄胎行负压吸引术,病人平均年龄21岁,平均产次0.7次,89%全麻,11%宫颈旁阻滞麻醉,扩张器逐号扩宫口,不用子宫探针,吸出孕产物后由锐性刮匙证实是否吸净,如有出血,可给宫缩剂代替重复刮宫。另外对706例早孕电吸同时行腹腔镜下绝育术,病人平均年龄35岁,平均产次2.3,97.3%全麻,
Early pregnancy abortion is a simple and common operation, but complications including uterine perforation may occur, the incidence rate of 0.8 ~ 6.4 ‰, only the abdominal organs were pulled out or the instrument beyond the uterus can be diagnosed, due to the lack of pelvic straight Depending on the examination, the diagnosis of uterine perforation are mostly suspicious. The author of 6408 cases of early pregnancy, including 3 cases of hydatidiform mole negative suction, the average age of patients 21 years, the average yield of 0.7 times, 89% general anesthesia, 11% paracentesis block anesthesia, Uterine probe, after the suction of pregnant products by sharp curette to confirm whether the net absorption, if bleeding, uterine contractions can be replaced instead of repeated curettage. Another 706 cases of early pregnancy electrovaporization while laparoscopic sterilization, the average age of patients 35 years old, the average yield 2.3,97.3% general anesthesia,