用宫腔镜下取环术对常规取环失败患者进行取环的效果分析  

Effect analysis of hysteroscopic intrauterine device removal for patients with failure of conventional intrauterine device removal

作　　者：陈燕玲 林叙君 CHEN Yan-ling;LIN Xu-jun(Shenzhen Futian District Maternal and Child Health Care Hospital,Shenzhen 518033,China)

机构地区：[1]广东省深圳市福田区妇幼保健院,518033

出　　处：《中国现代药物应用》2018年第18期18-20,共3页Chinese Journal of Modern Drug Application

摘　　要：目的探讨用宫腔镜下取环术对常规取环失败患者进行取环的效果分析。方法 100例常规取环失败患者,采用随机数字表法分为对照组和研究组,每组50例。对照组患者采用B超下取环术,研究组患者采用宫腔镜下取环术,比较两组患者的相关治疗指标、取环效果以及术后并发症发生情况。结果研究组患者手术时间为(12.20±4.95)min,短于对照组的(16.55±5.45)min,差异具有统计学意义(t=4.1779,P<0.05);研究组患者术中出血量为(5.65±3.05)ml,少于对照组的(7.95±2.85)ml,差异具有统计学意义(t=3.8961,P<0.05)。研究组患者取环成功率为98.00%,高于对照组的80.00%,差异具有统计学意义(χ~2=8.2737,P<0.05)。研究组患者术后并发症发生率为4.00%,低于对照组的18.00%,差异具有统计学意义(χ~2=5.0051,P<0.05)。结论对常规取环失败患者用宫腔镜下取环术的效果确切,安全性高,有重要临床应用价值。Objective To investigate the effect analysis of hysteroscopic intrauterine device removal for patients with failure of conventional intrauterine device removal.Methods A total of 100 patients with failure of conventional intrauterine device removal were divided into control group and research group according to the random number table method,50 cases in each group.Patients in the control group underwent type-B ultrasonic intrauterine device removal,and patients in the research group underwent hysteroscopic intrauterine device removal.The related treatment indicators,intrauterine device removal effect and occurrence of postoperative complications between the two groups were compared.Results The operative time of the research group was(12.20±4.95)min,which was significantly shorter than(16.55±5.45)min of the control group,the difference was statistically significant(t=4.1779,P<0.05).The intraoperative blood loss of the research group was(5.65±3.05)ml,which was significantly less than(7.95±2.85)ml of the control group,the difference was statistically significant(t=3.8961,P<0.05).The success rate of intrauterine device removal in the research group was 98.00%,which was significantly higher than 80.00%in the control group,the difference was statistically significant(χ2=8.2737,P<0.05).The incidence of postoperative complications in the research group was 4.00%,which was significantly lower than 18.00%in the control group,the difference was statistically significant(χ2=5.0051,P<0.05).Conclusion The effect of hysteroscopic intrauterine device removal for patients with failure of conventional intrauterine device removal is reliable,has high safety and important clinical value.

关 键 词：宫腔镜下取环术 常规取环失败 效果 

分 类 号：R169.41[医药卫生—公共卫生与预防医学]