宫腔直视或超声引导负压吸宫术终止早期妊娠的临床效果比较  

Clinical effect compare of visual vacuum aspiration and ultrasound-guided vacuum aspiration for terminating early pregnancy

作　　者：兰琳[1] 郑幼娇 鲁慧[1] 袁媛[1] 杨凤 LAN Lin;ZHENG Youjiao;LU Hui;YUAN Yuan;YANG Feng(Guiyang Maternal and Child Health Care Hospital,Guiyang,Guizhou Province,550003)

机构地区：[1]贵州省贵阳市妇幼保健院,550003

出　　处：《中国计划生育学杂志》2022年第9期1968-1971,共4页Chinese Journal of Family Planning

摘　　要：目的:分析宫腔直视吸引术与超声引导人工流产术终止早期妊娠临床效果。方法:选取2020年4月-2021年3月本院接受人工流产术的早期妊娠4920例,将行宫腔直视吸引术的1727例纳入宫腔直视组,行超声引导下人工流产术的3193例纳入超声引导组。比较两组围术期指标及随访结果并评价两种术型临床效果。结果:宫腔直视组手术时间(4.1±0.6min)、术中出血量(10.1±2.1ml)和术中进出宫腔次数(1.1±0.1次)均低于超声引导组(5.2±0.8min、24.6±6.8ml、2.9±0.3次),术后流血时间(4.14±1.03d)、月经恢复时间(27.74±7.32d)均低于超声引导组(6.6±1.1d、31.7±8.4d),术后月经量异常率(14.5%)低于超声引导组(24.1%),术后宫腔粘连(0.01%)、复清宫(0.41%)、感染的发生率(0.06%)均低于超声引导组(1.47%、2.94%、0.66%)(均P<0.05)。结论:宫腔直视吸引术用于终止早期妊娠具有视野好、手术时间短、创伤小,术后并发症发生率低等优势,临床效果确切。Objective:To analyze the clinical effects of intrauterine aspiration under direct vision and ultrasound-guided abortion for terminating early pregnancy.Methods:A total of 4920 women who wanted abortion in Guiyang Women's and Children's Health Hospital were selected and were divided into two groups from April 2020 to March 2021.According to the different surgical methods,1727 women who underwent intrauterine aspiration under direct vision were included in group A,and 3193 women who underwent ultrasound-guided abortion were included in group B.The perioperative indicators and the results after follow-up of the women were compared between the two groups.The clinical effects of the women in the two groups were evaluated.Results:The operation time(4.1±0.6min),the intraoperative blood loss(10.1±2.1ml),the intrauterine entry and exit times(1.1±0.1),the postoperative bleeding time(4.14±1.03d),the menstrual recovery time(27.74±7.32d),the incidence of abnormal menstrual volume(14.5%),the uterine adhesion rate(0.01%),the rate of intrauterine aspiration again(0.41%),and the infection rate(0.06%)of the women in group A were significantly lower than those(5.2±0.8min,24.6±6.8ml,2.9±0.3 times,6.6±1.1d,31.7±8.4d,24.1%,1.47%,2.94%,and 0.66%)of the women in group B(all P<0.05).Conclusion:Intrauterine aspiration under direct vision for terminating early pregnancy has the advantages of good visual field,short operation time,small trauma,and less postoperative complications,which has exact clinical efficacy.

关 键 词：人工流产术 宫腔直视吸引手术 超声引导 手术指标 并发症 术后月经恢复 

分 类 号：R169.42[医药卫生—公共卫生与预防医学]