3种不同负压吸宫术临床效果比较  

Comparative effect of 3 kinds vaccum aspiration for induced abortion

作　　者：何茶英 杨扬 吴迪 祝俊 骆婷婷 姜丽蓉 陈豪 冯洁 丁芸霞 HE Chaying;YANG Yang;WU Di;ZHU Jun;LUO Tingting;JIANG Lirong;CHEN Hao;FENG Jie;DING Yunxia(Hangzhou Women's Hospital,Hangzhou,Zhejiang Province,310012;Hangzhou Normal University)

机构地区：[1]浙江省杭州市妇产科医院,310012 [2]杭州师范大学

出　　处：《中国计划生育学杂志》2025年第1期35-38,44,共5页Chinese Journal of Family Planning

基　　金：杭州市生物医药和健康产业发展扶持科技专项(2021WJCY076);杭州市科学技术局科研项目(2020120313224);杭州市医药卫生科技项目(ZD20210058)。

摘　　要：目的:比较采用内窥可视宫腔组织吸引系统、腹部B超引导和传统负压吸宫术的有效性和安全性。方法:2021年12月-2023年12月在本院行无痛人工流产术者399例为研究对象,采用数字表法分为3组,分别行内窥可视宫腔组织吸引系统人工流产术(可视组)、B超引导吸宫术(超声引导组)、传统负压吸宫术(传统组),分别比较3组的临床效果。结果:可视组分别与传统组、超声引导组相比,手术时间[(5.2±1.2)min,(4.2±1.3)min,(5.7±2.1)min;t=2.42,t=6.56,均P<0.05]、术中出血量[(8.6±1.5)ml,(10.9±2.5)ml,(12.1±2.2)ml;t=15.33,t=9.22,均P<0.05]、术后出血时间[(4.2±1.1)d,(5.6±1.4)d,(7.6±1.9)d;t=18.10,t=9.15,均P<0.05],术后内膜厚度[(5.1±2.1)mm,(4.6±1.9)mm,(3.6±2.5)mm;t=5.34,t=2.04,均P<0.05]、转经时间[(29.2±4.5)d,(33.1±5.0)d,(44.3±11.3)d;t=18.43,t=13.64,均P<0.05]差异有统计学意义;可视组与传统组相比,术后并发症发生率有统计学意义(χ^(2)=6.88,P<0.05);与超声组比较差异无统计学意义(χ^(2)=0.42,P>0.05)。在有高危因素患者中,可视组与传统组相比,手术时间[(5.1±0.9)min,(6.8±1.4)min;t=3.43,P<0.05]、术中出血量[(11.5±1.6ml、14.3±1.8ml;t=3.93,P<0.05]及术后出血时间[(4.9±0.8)d,(7.7±2.0)d;t=4.33,P<0.05]差异有统计学意义。结论:内窥可视宫腔组织吸引系统负压吸宫术在控制手术时间,减少术中出血量和术后出血时间,降低宫腔粘连发生率等方面有较好的优势,尤其是对高危人工流产患者。Objective:To compare the effectiveness and the safety of the endoscopic visual uterine tissue aspiration system,the transabdominal B-ultrasound-guided aspiration and the traditional negative pressure aspiration curettage for treating women during abortion.Methods:399 women who wanted painless abortion in the hospital were included and were divided in three groups by the numerical table method from December 2021 to December 2023.139 cases in group A were given the endoscopic visual uterine tissue aspiration system during abortion,130 cases in group B were given the B-ultrasound-guided negative pressure aspiration curettage during abortion and 130 cases in group C were given the traditional negative pressure aspiration curettage during abortion.The clinical effect of the abortion of the women was compared among the three groups.Results:There were significant differences in the operation time(5.2±1.2min,4.2±1.3min vs.5.7±2.1min),the bleeding volume(8.6±1.5ml,10.9±2.5ml vs.12.1±2.2ml),the postoperative bleeding time(4.2±1.1d,5.6±1.4d vs.7.6±1.9d),the endometrial thickness(5.1±2.1mm,4.6±1.9mm vs.3.6±2.5mm)and the time of the menstruation recovery(29.2±4.5d,33.1±5.0d vs.44.3±11.3d)of the women among the three groups.The incidence of the postoperative complications of the women had significant difference between group A and group C(χ^(2)=6.88,P<0.05),but which of the women had no significant difference between group A and group B(χ^(2)=0.42,P>0.05).In the women with high risk factors,the operation time(5.1±0.9min)of the women in group A had significantly different from that(6.8±1.4min)of the women in group C(t=3.43,P<0.05),the intraoperative blood loss(11.5±1.6ml)of the women in group A had significantly different from that(14.3±1.8ml)of the women in group C(t=3.93,P<0.05),and the postoperative bleeding time(4.9±0.8d)of the women in group A had significantly different from that(7.7±2.od)of the women in group C(t=4.33,P<0.05).Conclusion:The negative pressure aspiration curettage by the endoscopic v

关 键 词：人工流产 负压吸宫术 内窥可视 B超引导 

分 类 号：R169.42[医药卫生—公共卫生与预防医学]