阴道彩超定位孕囊着床部位对人工流产结局的影响  

The effect of transvaginal color ultrasound positioning the pregnant bursa implantation site to outcomes of artificial abortion

作　　者：龚梅[1] 

机构地区：[1]遂宁市第三人民医院功能科,四川629000

出　　处：《社区医学杂志》2017年第10期9-10,共2页Journal Of Community Medicine

摘　　要：目的探讨经阴道彩超判断孕囊着床部位对早孕人工流产手术的指导价值。方法选取2015年4月—2016年12月行人工流产的早孕妇女260例,随机分为观察组与对照组。观察组术前经阴道彩超查找孕囊着床部位的滋养层动脉,标明着床位置,按常规人工流产手术操作。对照组按常规人工流产手术操作。记录两组手术时间、术中出血量、恢复月经时间;比较两组术后并发症发生情况。手术时间、术中出血量、恢复月经时间比较采用t检验,并发症发生率比较采用χ~2检验,P<0.05为差异有统计学意义。结果观察组手术时间、月经恢复时间[(5.10±1.07)min、(29.06±10.73)d]比对照组[(7.91±1.54)min、(36.25±9.41)d]短,术中出血量[(11.94±5.90)ml]比对照组[(24.01±7.72)ml]少,比较差异有统计学意义(均P<0.05)。观察组人工流产不全发生率(0)低于对照组(4.62%),比较差异有统计学意义(P<0.05)。两组阴道炎、盆腔炎发生率比较差异无统计学意义(均P<0.05)。结论人工流产术前采用阴道彩超判断孕囊着床部位,可缩短手术时间及月经恢复时间,减少术中出血量,降低并发症发生率。Objective To investigate the value of trans vaginal uhrasound localization sac in guiding of early abortion. Methods 260 early pregnancy woman requiring artificial abortion from April 2015 to December 2016 were randomly divided into observation group and control group. Control group accorded to the conventional artificial abortion operation. Compared two groups of operation time, intraoperative blood loss, recovery time and postoperative complications.Results Observation group operation time, recovery time [（5.10 ± 1.07） rain and （29.06 ± 10.73） d] were shorter than the control group [（7.91 ± 1.54） min and （36.25 ± 9.41） d], intraoperative blood loss [（11.94 ± 5.90） ml [were less than control group [（24.01± 7.72） ml], compare the difference was statistically significant （all P〈0.05）. Observation group the incidence of induced abortion was not complete （0） is lower than the control group （4.62%,P〈0.05） .The vaginitis, pelvic inflammatory disease incidence is similar between the two groups has no statistical significance （all P〉0.05）.Conclusions Transvaginal color ultrasound positioning the pregnant bursa implantation site can shorten the operation time and menstruation recovery time, reduce intraoperative blood loss, reduce the incidence of complications.

关 键 词：阴道彩超 早孕 人工流产 

分 类 号：R714.21[医药卫生—妇产科学]