可视人流仪术中监测在瘢痕子宫取环中的作用  

Effect of application of visual artificial abortion monitor on the removal of intrauterine device from scarred uterus patients

作　　者：王昊珏[1,2] 方杰[1] 陆显义 王蕾[2] 张秋莹[2] 

机构地区：[1]江苏大学医学院,江苏镇江212013 [2]无锡市锡山人民医院(东南大学附属中大医院无锡分院)妇产科,江苏无锡214011

出　　处：《临床医药文献电子杂志》2016年第53期10475-10477,共3页Electronic Journal of Clinical Medical Literature

摘　　要：目的观察可视人流仪在瘢痕子宫取环中的临床疗效。方法在按随机数字表法将拟行取环术再生育的瘢痕子宫患者分为两组,实验组采用可视人流仪定位下取环,对照组采用常规方法取环,比较两组取环手术的出血量、持续时间、术中不良反应、手术一次成功率、术中疼痛程度、术后阴道出血、术后月经复潮时间及月经变化、术后妊娠等情况。结果可视人流仪监护下取环与常规取环手术相比,取环手术的术中出血减少(2.8±1.6 vs 5.4±1.4毫升)、持续时间减少(2.2±0.66 vs 4.2±0.30分钟)、术中不良反应低(13.54%vs 25%)、一次性手术取环成功率高(98.95%vs 90%)、子宫穿孔发生例数少(0 vs 5例),术后阴道流血时间短(6.5±12.03 vs 10.34±10.34天),术后月经复潮快(25.12±0.56 vs 30.45±1.87天),宫颈管粘连的发生病例数少(2 vs 8例,P<0.05)。而术后妊娠例数(35 vs 33例),差异无统计学意义(P>0.05)。结论瘢痕子宫在可视人流仪术中监护下取环要好于常规方法,安全性更高。Objective Evaluate the clinical effect of the application of visual artificial abortion monitor on the removal of intrauterine device from patients with scarred uterus. Methods Patients with scarred uterus scheduled for reproduction after removal of intrauterine device were randomly divided into two groups in accordance with the random number table. The experiment group was subjected to extraction of intrauterine device under the monitoring of visual artificial abortion monitor while the control group was operated by conventional method. The operation time, the amount of bleeding, adverse effect, success rate of first surgery, pain degree, postoperative vaginal bleeding, postoperative period of menstruation return and cycle, and pregnancy after operation were analysed. Results A significant decrease was observed in the operation time from 4.2±0.30 to 2.2±0.66 min, the amount of intraoperative bleeding from 5.4±1.4 to 2.8±1.6 ml, intraoperative adverse effect from 25 to 13.54%, postoperative period of menstruation return from 30.45±1.87 to 25.12±0.56 days, and occurance of the cervix of the uterus tube adhesion from 8 to 2 cases（P〈0.05）. A significant increase was not observed in the pregnancy after operation from 35 to 33 rates （P〈0.05）. Conclusion The removal of intrauterine device from scarred uterus patients with the application of visual artificial abortion monitor of is better and safe compared to conventional method.

关 键 词：瘢痕子宫 可视人流仪 节育环 

分 类 号：R715.2[医药卫生—妇产科学]