HEOS宫腔镜下残留妊娠物清除术治疗流产后宫腔残留的效果分析  

Efficacy Analysis of HEOS Hysteroscopic Removal of Retained Products of Conception in Patients with Residue in Uterine Cavity After Abortion

作　　者：桑丽[1] 解莹 Sang Li;Xie Ying(Department of Gynecology,Lianshui County People's Hospital of Huaian City,Lianshui 223400,Jiangsu Province,China)

机构地区：[1]江苏省淮安市涟水县人民医院妇科,江苏涟水223400

出　　处：《中国社区医师》2022年第18期40-42,共3页Chinese Community Doctors

摘　　要：目的:分析流产后宫腔残留妊娠物患者实施HEOS宫腔镜下残留妊娠物清除术治疗的效果与安全性。方法:随机选取2018年11月-2020年11月涟水县人民医院收治的70例流产后宫腔残留患者为本次研究对象,所有研究对象随机数字表法分为两组,参照组(35例)行超声引导下清宫术,研究组(35例)行HEOS宫腔镜下残留妊娠物清除术。对比分析两组患者的手术指标(手术时长、术中出血量)、手术疗效(月经恢复时间、月经量、仍有妊娠物残留接受再次干预次数)及妊娠物清除有效率。结果:研究组患者的手术时长、术中出血均低于参照组,差异有统计学意义(P<0.05)。研究组的阴道出血时间、月经恢复时间、血HCG恢复时间及仍有妊娠物残留接受再次干预次数均低于参照组,且术后首次月经量显著高于参照组,差异有统计学意义(P<0.05)。研究组妊娠物清除有效率为97.14%(34/35),显著高于参照组82.86%(29/35),差异有统计学意义(χ2=3.968,P=0.046)。结论:对流产后宫腔残留患者实施HEOS宫腔镜手术治疗,可有效提高手术安全性,避免术中及术后并发症发生率,提高妊娠物清除率,促进患者快速恢复。Objective:To analyze the effect and safety of HEOS hysteroscopic removal of retained products of conception in patients with residue in uterine cavity after abortion.Methods:A total of 70 patients with residue in uterine cavity after abortion who were admitted to Lianshui County People's Hospital from November 2018 to November 2020 were selected as the study subjects.All the subjects were randomly divided in two groups:the research group(35 cases)received ultrasound-guided uterine evacuation,and the study group(35 cases)received HEOS hysteroscopic removal of retained products of conception.The surgical indicators(operation time,intraoperative blood loss),surgical efficacy(menstrual recovery time,menstrual volume,number of re intervention due to present retained products of conception)and the effective removal rate of retained products of conception were compared and analyzed.Results:The operation time and intraoperative blood loss of the study group were lower than those of the reference group,and the difference was statistically significant(P<0.05).The vaginal bleeding time,menstrual recovery time,blood HCG recovery time and the number of re-intervention due to present retained products of conception in the study group were all lower than those in the reference group,and the first menstrual volume after surgery was significantly higher than that in the reference group,with statistically significant differences(P<0.05).The effective removal rate of retained products of conception in the study group was 97.14%(34/35),which was significantly higher than 82.86%(29/35)in the reference group,and the difference was statistically significant(χ2=3.968,P=0.046).Conclusion:HEOS hysteroscopic surgery for patients with residue in uterine cavity after abortion can effectively improve the safety of surgery,avoid the incidence of intraoperative and postoperative complications,improve the removal rate of retained products of conception,and promote the rapid recovery of patients.

关 键 词：流产 宫腔残留 HEOS宫腔镜 

分 类 号：R714.21[医药卫生—妇产科学]