宫腔镜下高危人工流产术后即时放置宫内节育器的可行性研究  

Feasibility study of immediate placement of intrauterine device after high-risk induced abortion under hysteroscope

作　　者：刘命风 马学标 黄水英[1] 游宇园 LIU Ming-feng;MA Xue-biao;HUANG Shui-ying(Department of Gynecology,Huidong County Maternal and Child Health Hospital,Huizhou 516300,China)

机构地区：[1]广东省惠州市惠东县妇幼保健院妇科,516300

出　　处：《中国实用医药》2020年第30期40-42,共3页China Practical Medicine

摘　　要：目的分析宫腔镜下高危人工流产术后即时放置宫内节育器的可行性。方法60例高危人工流产术患者,随机分为观察组与对照组,各30例。观察组患者宫腔镜下高危人工流产术后即时放置宫内节育器,对照组患者B超引导下高危人工流产术后即时放置宫内节育器。比较两组手术相关指标(术中出血量、手术时间、术后节育器下移)、并发症(子宫穿孔、清宫不全)发生情况。结果两组均无术后节育器下移发生。观察组术中出血量(15.23±1.27)ml、手术时间(26.17±0.25)min与对照组的(15.01±1.28)ml、(26.15±0.27)min比较,差异无统计学意义(P>0.05)。观察组并发症发生率为0,低于对照组的13.33%,差异有统计学意义(P<0.05)。结论宫腔镜下高危人工流产手术后即时放置宫内节育器具有可行性。Objective To analyze the feasibility of immediate placement of intrauterine device after highrisk induced abortion under hysteroscope.Methods A total of 60 patients with high-risk induced abortion were randomly divided into observation group and control group,with 30 cases in each group.The observation group underwent high-risk induced abortion under hysteroscopy,and the intrauterine device was placed immediately after the operation;the control group underwent high-risk induced abortion under the guidance of B-ultrasound,and the intrauterine device was placed immediately after the operation.The operative related indicators(amount of intraoperative hemorrhage,operation time,no downward movement of intrauterine device after operation)and occurrence of complications(uterine perforation and incomplete curettage)were compared between the two groups.Results There was no downward movement of intrauterine device after operation in both groups.The amount of intraoperative hemorrhage(15.23±1.27)ml and operation time(26.17±0.25)min in the observation group had no statistically significant difference compared with(15.01±1.28)ml and(26.15±0.27)min in the control group(P>0.05).The incidence of complications in the observation group was 0,which was lower than 13.33%in the control group,and the difference was statistically significant(P<0.05).Conclusion It is feasible to place the intrauterine device immediately after the high-risk abortion under the hysteroscope.

关 键 词：宫腔镜 高危人工流产术 宫内节育器 

分 类 号：R169.42[医药卫生—公共卫生与预防医学]