瘢痕子宫早期妊娠行无痛可视超导人工流产术效果观察  

Efficacy of painless visual superconducting abortion for treating women with early scarred uterus pregnancy

作　　者：刘红[1] 姜家英 LIU Hong;JIANG Jiaying(Ankang Traditional Chinese Medicine Hospital, shaanxi Province, 725000)

机构地区：[1]陕西省安康市中医医院,725000

出　　处：《中国计划生育学杂志》2020年第11期1824-1826,1831,共4页Chinese Journal of Family Planning

摘　　要：目的:探讨无痛可视超导技术在瘢痕子宫早期妊娠人工流产术中的应用效果。方法:回顾性收集本院瘢痕子宫早期妊娠自愿要求行无痛人工流产女性606例,根据终止妊娠方式,分为行可视超导人工流产术386例(可视组),常规人工流产术220例(常规组)。对两组手术情况、术后并发症发生率、月经复潮时间等进行分析。结果:可视组手术时间(3.61±1.32 min)、术中出血量(12.10±5.31 ml)、吸管进出宫腔次数(1.57±0.31次)均少于常规组,术后并发症总发生(3.9%)低于常规组(20.0%)(均P<0.05)。与术前相比,两组术后30min的干扰素(IFN-γ)水平均降低,白细胞介素10(IL-10)水平均升高,但常规组变化幅度大于可视组(P<0.05)。术后随访,可视组妇女阴道出血时间、月经复潮时间均短于常规组(P<0.05)。结论:瘢痕子宫早期妊娠女性行无痛可视超导人工流产术能有效缩短手术时间,减少术中出血量,降低术后并发症发生,手术效果确切,安全性好。Objective:To investigate the effect of painless visual superconducting abortion for treating women with early scarred uterus pregnancy.Methods:606 women with early scarred uterus pregnancy were conlected retrospectively,and were divided into two groups according to different ways of terminating pregnancy.386 women in the observation group had undergone painless visual superconducting abortion,and 220 women in the control group had undergone ordinary induced abortion.The operation situation,the complications rate,and the time of menstrual recovery of women in the two groups were analyzed.Results:The operation time(3.61±1.32 min),the amount of bleeding(12.10±5.31 ml),and the number of times of suction tube entering and leaving the uterine cavity(1.57±0.31 times)of women in the observation group were significant less than those of women in the control group(P<0.05).The total incidence of postoperative complication(3.9%)of women in the observation group was significant lower than that(20.0%)of women in the control group(P<0.05).Compared with those of women in the two groups before operation,the IFN-γlevel of women 30 minutes after operation had decreased,but the IL-10 level had increased significantly,and which’s change of women in the control group were significant higher than those of women in the observation group(P<0.05).The time of vaginal bleeding and duration of menstrual recovery of women in the observation group were significant shorter than those of women in the control group(P<0.05).Conclusion:Painless visual superconducting abortion for treating women with early scarred uterus pregnancy can effectively shorten the operation time,reduce intraoperative bleeding amount,decrease the risk of postoperative complications.The painless visual superconducting abortion is effective with good safety.

关 键 词：瘢痕子宫 早期妊娠 无痛手术 无痛可视超导人工流产术 并发症 

分 类 号：R16[医药卫生—公共卫生与预防医学]