探讨B超引导、内窥可视人流系统与传统早期人工流产的疗效与安全性  

Efficacy and Safety of B-ultrasound Guided Endoscopic Visual Abortion System and Traditional Early Induced Abortion

作　　者：王娟 胡红霞 吴杨 于金凤 WANG Juan;HU Hongxia;WU Yang;YU Jinfeng(Department of Obstetrics and Gynecology,Yangzhou Hospital of Traditional Chinese Medicine,Yangzhou,Jiangsu Province,225000 China)

机构地区：[1]扬州市中医院妇产科,江苏扬州225000

出　　处：《中外医疗》2023年第7期19-23,共5页China & Foreign Medical Treatment

摘　　要：目的 探讨B超引导、内窥可视人流系统与传统人工流产的疗效与安全性。方法 方便选取2019年1月—2022年1月于扬州市中医院妇产科就诊的120例需要进行无痛人流的孕妇为研究对象,按照采用的手术方法不同分为2组,对照组52例,采用传统人工流产,观察组68例,行B超引导、内窥可视人流系统流产,在流产后,比较两组患者的术中出血量、手术时间、宫腔内操作时间、子宫内膜厚度(En)、阴道流血时间、月经恢复时间及术后并发症。结果 观察组的术中出血量、手术时间、宫腔内操作时间以及住院时间均少/短于对照组,差异有统计学意义(P<0.05)。治疗前,两组孕妇En比较,差异无统计学意义(P>0.05),治疗后,观察组En值较对照组高,差异有统计学意义(P<0.05)。观察组阴道流血时间、月经恢复时间均明显短于对照组,差异有统计学意义(P<0.05)。观察组并发症发生率2.94%低于对照组的15.38%,差异有统计学意义(χ^(2)=4.455,P<0.05)。观察组满意度为92.65%高于对照组的73.08%,差异有统计学意义(χ^(2)=7.064,P<0.05)。结论 B超引导、内窥可视人流系统在妊娠孕妇人工流产中效果优异,手术具有直观性,极大地减少了对子宫内膜的损害,从而缩短了月经恢复时间,提高了子宫内腹厚度的恢复,且并发症少,安全性高。Objective To explore the efficacy and safety of B-ultrasound guided endoscopic visual abortion system and traditional induced abortion.Methods 120 pregnant women who needed to undergo painless abortion at the Obstetrics and Gynecology Department of Yangzhou Traditional Chinese Medicine Hospital from January 2019 to January 2022 were conveniently selected as the research subjects.They were divided into two groups according to the different surgical methods used.The control group consisted of 52 women who underwent traditional abortion,while the observation group consisted of 68 women who underwent ultrasound guided and endoscopic visible abortion.After the abortion,the intraoperative bleeding volume,surgical time,and intrauterine operation time,endometrial thickness(En),vaginal bleeding time,menstrual recovery time,and postoperative complications of the two groups of patients were compared.Results The intraoperative bleeding volume,surgical time,intrauterine operation time,and hospital stay in the observation group were all less/shorter than those in the control group,and the differences was statistically significant(P<0.05).Before treatment,there was no statistically significant difference in En between the two groups of pregnant women(P>0.05).After treatment,the En value of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).The observation group had significantly shorter vaginal bleeding time and menstrual recovery time compared to the control group,and the differences was statistically significant(P<0.05).The incidence of complications in the observation group 2.94%was lower than 15.38%in the control group,and the differences was statistically significant(χ^(2)=4.455,P<0.05).The satisfaction rate of the observation group was 92.65%,which was higher than 73.08%of the control group,and the differences was statistically significant(χ^(2)=7.064,P<0.05).Conclusion The B-ultrasound guided and endoscopic visible abortion system has excellent effec

关 键 词：内窥可视早期人流系统 传统早期人工流产 B超引导 疗效 安全性 子宫内膜厚度 

分 类 号：R4[医药卫生—临床医学]