摘要
目的：探讨宫腔镜取环术用于宫内节育环嵌顿的临床效果，并评估其安全性。方法选择采用宫腔镜下取环术586例（研究组），同期常规方法取环693例（对照组）作为对照。评估患者手术状况，宫颈松弛、取环效果及及安全性。结果研究组手术时间、阴道出血量、取环时间分别为（19．36±3．14）min、（9．42±2．11）mL和（8．17±1．90）min，均低于对照组的（30．29±4．08）min、（15．67±2．38）mL和（11．35±2.26）min，差异均有统计学意义（t＝13．16、11．51、9．76，均P＜0．05）。研究组宫颈松弛“良好”和取环顺利分别为490例（83．62％）和435例（74．23％），均高于对照组的374例（53．54％）和362例（52．24％），差异均有统计学意义（χ2＝10．28、11．35，均P＜0．05）。研究组患者腰、下腹痛（0～Ⅰ级）及阴道流血天数（无阴道流或＜1 d）分别为509例（86．86％）和362例（61．77％），对照组为527例（76．05％）和321（46.23％），两组差异均有统计学意义（χ2＝9．94、10．23，均P＜0．05）。结论宫腔镜取环术能够缩短手术时间和取环时间，减少阴道出血量和流血时间，提高取环成功率，患者不良症状较少，具有较高的安全性。
Objective To explore the clinical efficacy of hysteroscopic IUD intrauterine surgery for incarcerated ring,and to assess the safety.Methods 586 women with the incarcerated dervice remove under hysteroscope were selected in the hospital （study group）,693 women during the same period used conventional methods of taking the dervice （control group ）.The status of surgery,cervical relaxation,take the dervice and effect and safety were assessed.Results The operation time,amount of vaginal bleeding and take the dervice time of the study group were （19.36 ±3.14）min,（9.42 ±2.11）mL and （8.17 ±1.90）min,which were lower than those of the control group [（30.29 ±4.08）min,（15.67 ±2.38）mL and （11.35 ±2.26）min],the differences were statistically significant （t=13.16,11.51,9.76,P〈0.05）.The cervical relaxation ＆quot;good＆quot;and take part successfully of the study group were 490 cases（83.62%）and 435 cases（74.23%）,which were higher than those of the control group[374 cases （53.54%）and 362 cases（52.24%）],the differences were statistically significant （χ2 =10.28,11.35,P〈0.05）. Waist lower abdominal pain （0-Ⅰ grade）and vaginal bleeding number （no vaginal flow or〈1 day）of the study group were 509 cases （86.86%）and 362 cases （61.77%）,which of the control group were 527 cases （76.05%） and 362 （46.23%）,and the differences were statistically significant （χ2 =9.94,10.23,P〈0.05 ）.Conclusion Hysteroscopic IUD intrauterine surgery can shorten the operation time and take the dervice time,reduce the amount of vaginal bleeding and bleeding time.It can improve the success rate of taking the dervice and has fewer negative symptoms.It has high safety and clinical advantages are obvious.
出处
《中国基层医药》
CAS
2017年第3期400-403,共4页
Chinese Journal of Primary Medicine and Pharmacy
关键词
宫腔镜
嵌顿环
临床对比
安全性
Hysteroscopy
Incarcerated ring
Clinical comparison
Security
