论文部分内容阅读
目的探讨宫腔镜下无痛人工流产术在终止早期妊娠中的临床应用价值。方法选取600例停经35~70 d的宫内早孕或稽留流产患者,分为宫腔镜下人工流产组(观察组)和超声引导可视人工流产组(对照组)各300例,观察两组患者手术时间、术中出血情况、术中及术后并发症等。结果观察组的平均手术时间及平均术中出血量均低于对照组(P<0.05,P<0.01)。观察组手术并发症发生率为1.0%,明显低于对照组的6.3%(P<0.01)。未发现子宫穿孔、漏吸、人工流产综合征、术后感染、水中毒等并发症,无1例发生术后感染及月经异常。结论宫腔镜下无痛人工流产术,能安全有效地终止早期妊娠,具有成功率高、并发症少的优点。
Objective To investigate the clinical value of hysteroscopic painless abortion in the termination of early pregnancy. Methods Six hundred and sixty cases of intrauterine pregnancy or missed abortion within 35 ~ 70 days after menopause were selected and divided into three groups: 300 cases of induced abortion group (control group) and 300 cases of visual induced abortion group (control group) Patient operation time, intraoperative bleeding, intraoperative and postoperative complications. Results The average operation time and average blood loss in observation group were lower than those in control group (P <0.05, P <0.01). The incidence of complications in the observation group was 1.0%, which was significantly lower than that in the control group (6.3%, P <0.01). No uterine perforation, leakage of suction, induced abortion syndrome, postoperative infection, water poisoning and other complications were found. No one had postoperative infection or abnormal menstruation. Conclusion Hysteroscopic painless abortion can safely and effectively terminate early pregnancy with the advantages of high success rate and fewer complications.