宫腔镜应用于计划生育手术并发症诊治中的影响评价  

Evaluation of the Impact of Hysteroscopy in the Diagnosis and Treatment of Complications in Family Planning Surgery

作　　者：陈小琳[1] 金平[1] 李晴[1] 张蕾 CHEN Xiaolin;JIN Ping;LI Qing;ZHANG Lei(Department of Gynecology,Shenzhen Maternity and Child Health Hospital,Shenzhen,Guangdong Province,518048 China)

机构地区：[1]深圳市妇幼保健院妇科,广东深圳518048

出　　处：《中外医疗》2021年第11期71-73,共3页China & Foreign Medical Treatment

摘　　要：目的评价分析宫腔镜应用于计划生育手术并发症诊治中的效果。方法方便选择2018年7月—2019年7月深圳市妇幼保健院妇科收治的120例计划生育手术并发症患者,随机分为常规组(n=60例)和观察组(n=60例),常规组采用B超诊治,观察组采用宫腔镜诊治。对比两组患者治疗效果以及各项手术指标。结果观察组治疗有效率(95.00%)高于常规组(80.00%),组间差异有统计学意义(χ^(2)=6.171,P=0.013)。观察组患者的术中出血量(20.11±5.42)m L低于常规组,组间差异有统计学意义(t=16.585,P<0.05)。观察组手术时间(32.46±7.19)min及住院时间(2.29±0.73)d比常规组短,组间差异有统计学意义(t=15.309、4.253,P<0.05)。结论在计划生育手术并发症的诊治中应用宫腔镜技术,能提高患者的治疗效果,减少患者的术中出血量,缩短手术时间及住院时间,在临床推广使用中具有较高的价值。Objective To evaluate and analyze the effect of hysteroscopy in the diagnosis and treatment of the complications in family planning surgery.Methods A total of 120 patients with complications of family planning surgery admitted to the department of gynecology of Shenzhen maternity and child health hospital from July 2018 to July 2019 were conveniently selected and randomly divided into routine group(n=60 cases)and observation group(n=60 cases).The routine group was diagnosed and treated by B-ultrasound,and the observation group was diagnosed and treated by hysteroscopy.The,treatment effects and various surgical indicators of the two groups of patients were compared.Results The effective rate of treatment(95.00%)of the observation group was higher than that of the routine group(80.00%),the difference between groups was statistically significant(χ^(2)=6.171,P=0.013).The intraoperative blood loss(20.11±5.42)mL of the observation group was lower than that of the conventional group,the difference between groups was statistically significant(t=16.585,P<0.05),and the operation time(32.46±7.19)min and the hospital stay(2.29±0.73)d of the observation group were also shorter than those of the conventional group,the difference between groups was statistically significant(t=15.309,4.253,P<0.05).Conclusion The application of hysteroscopy in the diagnosis and treatment of complications of family planning surgery can improve treatment effects,reduce the amount of intraoperative blood loss of patients,and shorten the operation time and hospital stay.It has high value in clinical promotion and use.

关 键 词：计划生育手术 宫腔镜 并发症 

分 类 号：R169[医药卫生—公共卫生与预防医学]