宫腔直视吸引术与超声引导宫腔吸引术在早期人工流产效果  

Application effect of intrauterine aspiration under direct vision and ultrasound-guided intrauterine aspiration in early induced abortion

作　　者：郭兰兰[1] 潘艳青 许甜甜 GUO Lanlan;PAN Yanqing;XU Tiantian(Zhongwu Hospital,Suqian,Jiangsu Province,223800)

机构地区：[1]江苏省宿迁市钟吾医院,223800

出　　处：《中国计划生育学杂志》2023年第9期2131-2133,2137,共4页Chinese Journal of Family Planning

摘　　要：目的:探讨宫腔直视吸引术在早期人工流产中的应用效果。方法:选取2021年9月-2022年8月在本院门诊实行手术流产的早期妊娠女性1418例。根据受术者选择分为宫腔直视组(788例,采用宫腔直视吸引术),超声引导组(630例,采用超声引导宫腔吸引术)。比较两组术中、术后随访情况、手术并发症发生情况。结果:两组手术操作时间无统计学差异(P>0.05);宫腔直视组术中出血量、术后出血时间、月经量减少发生率均低于超声引导组[(13.5±3.2)ml比(18.5±5.1)ml;(5.3±1.2)d比(7.5±1.3)d;12.4%比20.8%],术中宫腔粘连发现比例显著高于超声引导组(3.4%比0,P<0.05),术后感染率、二次清宫率、闭经率较超声引导组无统计学差异(均P>0.05)。结论:宫腔直视吸引术用于早期人工流产术,具有术中术后出血少、月经量减少发生率低等优势,能更直观地评估宫腔内膜情况,可减少子宫内膜损伤,有利于术后恢复。Objective:To analyze the application effect of intrauterine aspiration under direct vision and ultrasoundguided intrauterine aspiration in early induced abortion.Methods:From September 2021to August 2022,1418women with early pregnancy who wanted induce abortion in the outpatient department were selected in this study.According to the principle of voluntary selection of the women,these women were divided into two groups,including 788cases who wanted intrauterine aspiration under direct vision during abortion in group A and 630cases who wanted ultrasoundguided intrauterine aspiration during abortion in group B.The intraoperative indicators,the postoperative follow-up situation,and the occurrence of surgical complications of the women were compared between the two groups.Results:There was no significant difference in the operation time between the two groups(P>0.05).The intraoperative blood loss(13.5±3.2ml),the postoperative bleeding time(5.3±1.2d),and the incidence of the decreased menstrual volume(2.4%)of the women in group A were significantly lower than those(18.5±5.1ml,7.5±1.3d,and 20.8%)of the women in group B.The proportion of intrauterine adhesion(3.4%)of the women in group A was significantly higher than that(0)of the women in group B(P<0.05).There were no significant differences in the postoperative infection rate,the second uterine curettage rate,and the amenorrhea rate of the women between the two groups(all P>0.05).Conclusion:Intrauterine aspiration under direct vision for the early induced abortion of the women has the advantages of less intraoperative and postoperative bleeding,and has the low incidence of the decreased menstrual volume,and which is more intuitive to evaluate the endometrial status and can reduce the endometrial injury of the women,and is conducive to the postoperative recovery of the women.

关 键 词：宫腔直视吸引术 超声引导宫腔吸引术 子宫内膜 术后恢复 

分 类 号：R169.42[医药卫生—公共卫生与预防医学]