早早孕吸宫止孕10404例临床分析

目的 探讨早早孕吸宫止孕术的优越性和临床应用价值.方法 对1993至2003年上海交通大学医学院附属第九人民医院完成的10 404例早早孕吸宫术作回顾性分析,取同期9434例普通人工流产(以下简称人流)组,比较两组出血量、手术时间及吸宫不全的发生率、受术者疼痛反应程度及人流综合征发生率.术后随访月经改变及发生宫腔粘连的情况.结果 两组平均年龄、已育妇女比例及首次妊娠人工流产的比例差异均无统计学意义(均P ＞0.05).早早孕吸宫术出血量(4.9±3.2)ml,手术时间(90±12)s,均少于普通人流组(9.5±6.3)ml,(121 +22)s],均P＜0.05.术中疼痛的程度及人流综合征的发生率、月经改变及宫腔粘连的发生率显著低于普通人流组(均P＜0.05),而吸宫不全的发生率(0.44％)高于普通人流组(0.21％,P＜0.05).结论 早早孕吸宫术具有出血少的优点,且因不需扩张宫颈、手术时间短,受术者痛苦小、恢复快,术后并发症少,但不全流产率较高.

Clinical study of induced abortion of early-early pregnancy: an analysis of 10, 404 cases

Objective To evaluate the advantages and disadvantages of early-early pregnancy induced abortion (EPIA).Methods A total of 10 404 cases of EPIA performed at our hospital from January 1993 to December 2003 were retrospectively analyzed and compared with 9434 cases of common induced abortion (CIA).The amount of hemorrhage and operative duration,degree of pain,rate of inducedabortion syndrome,rate of incomplete abortion,menstrual changes and post-operative onset of Asherman's syndrome were observed and compared between 2 groups.Results The average age,ratio of parous cases,ratio of the cases of first-pregnancy induced abortion were not different between 2 groups ( P ＞ 0.05 ).The amount of hemorrhage bleeding ( (4.9 ±3.2) ml),operative duration ( (90 ± 12) s),degree of pain,rate of induced-abortion syndrome,menstrual changes and the rate of Asherman's syndrome in the EPIA group were all significantly less than those in the CIA group (P ＜ 0.05).However,the rate of incomplete abortion (0.44％ ) in the EPIA group was significantly higher than that (0.21％) in the CIA group ( P ＜ 0.05 ).Conclusion EPIA has the advantages of lesser hemorrhage,less pain,shorter operative duration and fewer complications over CIA.Therefore the recovery of EPIA cases is earlier than that of CIA cases.While the risk of incomplete abortion stays high.