摘要
目的观察超导可视下微管负压吸宫术终止早期妊娠(30～36天)的临床效果。方法分析600例接受负压吸宫术的患者,按手术方式分为早期妊娠超导微管组(A组)200例,早期妊娠微管组(B组)200例,常规组(C组)200例。对术中出血量、刮出组织量、手术时间、子宫穿孔率、漏吸率、不全流产率、术后出血时间、复经时间、复经后月经量变化进行分析和比较。结果 (1)A组的术中出血量和吸出组织量少于B组,但组间比较,差异无统计学意义(P> 0.05);A组的术中出血量和吸出组织量少于C组,差异具有统计学意义(P <0.001)。(2)A组的手术时间少于B组和C组,差异具有统计学意义(P <0.001)。(3)A组子宫穿孔率与B组相同,均少于C组,但组间比较,差异无统计学意义(P> 0.05)。(4)A组不全流产率少于B组,但组间比较,差异无统计学意义(P> 0.05);A组不全流产率少于C组,差异具有统计学意义(P <0.05)。(5)A组的术后出血时间和月经恢复时间少于B组,但组间比较,差异无统计学意义(P> 0.05);A组的术后出血时间和月经恢复时间少于C组,差异具有统计学意义(P <0.001)。(6)A组术后月经恢复时间多于B组和C组,差异具有统计学意义(P<0.001)。结论超导可视下微管负压吸宫术终止早期妊娠安全有效且并发症少。
Objective To observe the clinical effect of superconducting visual tube aspiration on early pregnancy （30 ~ 36 days）. Methods 600 patients undergoing negative pressure aspiration were analyzed. According to the operation method, they were divided into early pregnancy superconducting microtubule group （group A） 200 cases, early pregnancy microtubule group （group B） 200 cases, conventional group （group C） 200 cases. The amount of bleeding, the amount of curettage tissue, operation time, uterine perforation rate, suction rate, incomplete abortion rate, postoperative bleeding time, menstruation time, menstrual volume changes after menstruation were analyzed and compared. Results （1） The amount of bleeding and aspirated tissue in group A was less than that in group B, but there was no signifcant diference between the two groups （P 〉 0.05）. The bleeding volume and aspiration volume of group A were less than those of group C, and the difference was statistically significant （P 〈 0.001）. （2） The operative time in group A was less than that in group B and C, and the diference was statistically signifcant （P 〈 0.001）. （3） The uterine perforation rate of group A was the same as that of group B, which was less than that of group C, but there was no signifcant diference between the two groups （P 〉 0.05）. （4） The incomplete abortion rate in group A was less than that in group B, but there was no signifcant diference between groups （P 〉 0.05）. The incomplete abortion rate in group A was less than that in group C, and the diference was statistically signifcant （P 〈 0.05）. （5） The bleeding time and menstrual recovery time in group A were less than those in group B, but there was no signifcant diference between the two groups （P 〉 0.05）. The bleeding time and menstrual recovery time in group A were less than those in group C, and the diference was statistically signifcant （P 〈 0.001）. （6） The menstrual recovery time of group A was more than that of group B and group C, and the diference was statistically signifcant （P 〈 0.001）. Conclusion Superconducting visual tube aspiration is safe and efective in the termination of early pregnancy and has fewer complications.
作者
吴丽莉
李万斌
WU Lili;LI Wanbin(Department of Gynaecology,Maternal and Child Healthcare Hospital of Shashi District,Jingzhou Hubei 434000,China;Department of Gynaecology,Jingzhou Traditional Chinese Medicine Hospital,Jingzhou Hubei 434000,China)
出处
《中国继续医学教育》
2018年第30期124-126,共3页
China Continuing Medical Education
关键词
超导可视
微管
早期妊娠
人工流产
负压吸宫术
手术并发症
micro superconducting
microtubule
early pregnancy
induced abortion
UA of negative pressure
surgical complication
