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目的:探讨目前常用的微创方式行人工流产手术的并发症情况。方法:对因早期妊娠采用不同手术方式行人工流产的300例患者一般情况及并发症情况进行研究。300例患者按手术方式选择分3组,A组为传统人工流产100例,B组为“无痛+可视”人工流产100例,C组为“无痛+可视+微管”人工流产100例。人工流产方式对患者术后并发症情况进行调查随访及研究分析,随访时间为术后2周及术后2月。结果:3组相比C组术中出血发生率更高,手术时间最长,差异有统计学意义(P<0.01);A组中吸宫不全发生率更高,差异有统计学意义(P<0.01);A组并发症总发生率最高,差异有统计学意义(P<0.01)。结论:运用无痛及超声可视技术行早期人工流产能减少并发症发生,加用微管技术后并发症发生未减少。
Objective: To investigate the current complications of minimally invasive abortion surgery. Methods: The general situation and complication of 300 cases of induced abortion due to different surgical methods in early pregnancy were studied. 300 patients were divided into three groups according to the operation method, group A was 100 cases of traditional abortion, group B was 100 cases of “painless + visual” abortion, group C was “painless + visual + microtubule ”100 cases of induced abortion. The method of induced abortion was used to investigate and analyze the postoperative complications of patients. The follow-up time was 2 weeks and 2 months after operation. Results: The incidence of intraoperative bleeding in group 3 was higher than that in group C, and the operation time was the longest, the difference was statistically significant (P <0.01). The incidence of aspiration dysfunction in group A was higher, the difference was statistically significant (P <0.01). The total incidence of complications in group A was the highest with a significant difference (P <0.01). Conclusion: The use of painless and ultrasound visualization of early abortion can reduce complications, with the addition of microtubules did not reduce the incidence of complications.