摘要
目的:探讨宫腔观察吸引手术系统用于终止早期妊娠的临床效果。方法:选取2015年3月-2016年2月在本院门诊自愿要求人工流产术者1600例,其中自愿使选择宫腔观察吸引手术系统终止妊娠800例作为观察组,使用传统负压吸引终止妊娠800例作为对照组,分析比较两组术中、术后以及月经恢复情况。结果:两组手术时间无统计学差异(P>0.05)。术中出血量、吸管出入宫颈次数以及吸宫次数观察组少于对照组(P<0.05)。两组术后出血、腹痛天数及术后月经恢复时间、月经量的变化均无统计学差异(P>0.05)。在术后并发症方面,两组宫颈粘连和人工流产不全的发生率有统计学差异。其他包括子宫穿孔、漏吸、闭经等并发症的发生率,差异均无统计学意义。结论:宫腔观察吸引手术系统用于终止早期妊娠,能避免"盲刮",提高了手术的安全性,减少宫颈及子宫内膜的损伤,并降低人工流产不全的发生,值得临床推广应用。
Objective： To explore the clinical effect of direct visualization ~ vacuum aspiration system for terminating early pregnancy. Methods： From March 2015 to February 2016, a total of 1600 patients who voluntarily registered for induced abortion in southern campus of Shanghai Renji hospital were enrolled in this study. Among those patients, 800 who voluntarily registered for undergoing induced abortion with the direct visualization ~ vacuum aspiration system were in the observation group, and another 800 patients who voluntarily registered for undergoing induced abortion with standard vacuum aspiration technique were in the control group. Data obtained during and post procedures, and menstrual cycle recovery after abortion were compared between the two groups. Results： There was no statistical sig- nificant different in operation time between the two groups （P^0.05）. Bleeding volume, suction tube application fre- quency and uterine suction of patients in the observation group were significant less than those of patients in the control group （P^0.05）. There was no statistical difference in postoperative bleeding volume, days of abdomen pain, men- strual cycle recovery time, and menstrual blood volume between the two groups （P^0.05）. As for postoperative com- plications, there were statistical significant difference in intrauterine adhesion and incomplete abortion between the two groups, while no statistical significant different in the rate of uterus perforation, omitted suction or amenorrhea. Con- clusion： Terminating early pregnancy using direct visualization ~ vacuum aspiration system can prevent ＂blind suc- tion＂, improve operative safety, reduce damages to cervix and endometrium, and decrease the rate of incomplete abor- tion, so direct visualization ~ vacuum aspiration system is worth to applicant in clinical practice widely.
出处
《中国计划生育学杂志》
2017年第4期239-242,共4页
Chinese Journal of Family Planning
关键词
人工流产
人工流产并发症
宫腔观察吸引手术系统
Early pregnancy
Complications of induced abortion
Incomplete induced abortion
