摘要
目的通过对超导可视下无痛人流和常规盲视下无痛人流进行对比，探讨超导可视对早期高危妊娠者进行人工流产术的准确性和安全性。方法选取2008年12月至2010年6月在我院行无痛人流手术的宫内早孕的孕妇，其中合并疤痕子宫310例、子宫畸形（双角子宫、纵隔子宫）64例、子宫肌瘤98例，分别行超导可视下无痛人流（A组）和常规盲视下无痛人流（B组）各242例和230例。结果手术时间方面，疤痕子宫、子宫畸形、子宫肌瘤三种情况下均是A组较B组短，差异有统计学意义（t值分别为9．82、4．36和3．68，P〈0．001）。出血量方面，合并疤痕子宫或合并子宫畸形者B组较A组出血量多，差异有统计学意义（t值分别为5．38和2．26，P值分别为〈0．001和〈0．05）。术后阴道流血时间方面，合并疤痕子宫或合并子宫畸形者均为A组较B组短，差异有统计学意义（t值分别为5．22和3．33，P〈0．001）。A组无手术并发症，B组人流不全4例，占1．6％。结论超导可视下行早期高危妊娠人工流产，可有效减少手术操作时间，减少部分患者术中出血量及术后阴道流血时间，并发症少，使手术的准确性和安今性辑以提高．值得临康榷广.
Objective To explore the accuracy and security of painless artificial abortion guided by ultrasonic visual instrument in terminating early high-risk pregnancy by comparing it with conventional blind painless artificial abortion. Methods Intrauterine pregnant women who received painless artificial abortion in our hospital from December 2008 to June 2010 were selected. There were 310 patients with scar uterus, 64 with uterine malformations （didelphic uterus, septate uterus） and 98 with uterine myoma. The painless artificial abortion guided by ultrasonic visual instrument was performed on 242 cases （ group A） and conventional blind painless artificial abortion on 230 cases （group B）. Results The operation time of cases with scar uterus, uterine malformations and uterine myoma in group A was shorter than that of cases in group B, and the differences were statistically significant （t was 9.82, 4.36 and 3.68 respectively, P 〈 0.001 ）. The blood loss of cases with scar uterus or with uterine malformations in group B was more than that of cases in group A, and the difference were statistically significant （t was 5.38 and 2.26 respectively, P 〈 0.05 ）. The time of vagina bleeding of cases with scar uterus or with uterine malformations in group A was shorter than that of cases in group B, and the difference was statistically significant （ t was 5.22 and 3.33 respectively, P 〈 0. 001 ）. There was no case with complication in group A, but 4 cases （ 1.6% ） in group B were complicated by incomplete abortion. Conclusion Painless artificial abortion guided by ultrasonic visual instrument to terminate early high-risk pregnancy can effectively reduce operation time, intraoperative blood loss of some cases and time of vagina bleeding. With few complications, the accuracy and security of operation is improved, and it is worth popularizing.
出处
《中国妇幼健康研究》
2011年第4期462-464,共3页
Chinese Journal of Woman and Child Health Research
关键词
超导可视
无痛人流术
早期高危妊娠
分析
ultrasonic visual guidance
painless artificial abortion
early high-risk pregnancy
analysis
