超声引导在瘢痕子宫人工流产中的应用

目的观察超声引导在瘢痕子宫人工流产中的临床应用价值。方法选择2011年1月至2013年5月在廊坊市第四人民医院妇科门诊就诊、并要求行人工流产终止妊娠的有子宫瘢痕的早孕妇女176例,按照施加因素不同利用简单随机分组法分为两组,超声引导人工流产术组90例(超导人流组)和传统负压吸引人工流产术组86例(传统人流组)。超导人流组在BELSON720F型超声手术仪实时监控下进行手术,传统人流组则采用传统负压吸引术。通过观察两组术中出血量、手术时间、宫腔操作时间、术后阴道流血时间、术后月经恢复时间及术中术后并发症发生率,比较两组的手术质量。结果①超导人流组术中出血量及宫腔操作时间均少于传统人流组(10.8±4.2)mL vs(12.6±5.1)mL及(1.6±0.3)min vs(1.9±0.4)min,P<0.05];超导人流组手术使用时间与传统人流组比较(3.2±0.6)min vs(3.3±0.8)min],差异无统计学意义(P>0.05)。②超导人流组术后阴道流血时间少于传统人流组(4.3±1.2)d vs(7.5±3.0)d,P<0.05];超导人流组术后月经恢复时间短于传统人流组(26.7±3.2)d vs(32.8±4.1)d,P<0.05]。③超导人流组术中术后并发症少于传统人流组。结论超声引导人工流产术具有操作方便、手术中出血量少、宫腔内操作时间短、手术并发症少和身体恢复快等优点,是一种安全有效的瘢痕子宫人工流产方法,值得临床推广应用。

Clinical Application of Artificial Abortion under Ultrasonic Guidance in Cicatricial Uterus

Objective To understand the clinical application value of artificial abortion under ultrasonic guid- ance in eicatricial uterus. Methods A total of 176 cases of cicatricial uterus pregnancy for artificial abortion were randomly divided into two groups： the ultrasonic groupartificial abortion under BELSON720F type B ultrasonic guidance,n = 90）and the traditional group （traditional negative pressure aspiration, n = 86 ）. The intraoperative blood loss, operative time, intrauterine operative time, postoperative vaginal bleeding time, postoperative menstruation recovery time and incidence of postoperative complications of the two groups were observed to compare the quality of the operations. Results （1）The amount of blood loss and operative time in the ultrasonic group was less than the traditional group （ 10.8 ± 4.2 ） mL vs （ 12.6 ± 5.1 ） mL and （ 1.6 ± 0.3 ） min vs （ 1.9 ± 0.4 ） rain ], （ P 〈 0.05 ） ; the surgical time was not statistically significant between the ultrasonic groupand the traditional group （ 3.2 ± 0.6 ） rain vs （ 3.3 ± 0.8 ） min ] （ P 〉 0.05 ）. （2）The postoperative vaginal bleeding time of the ultrasonic group was statistically significantly lower than the traditional group （4.3 ± 1.2 ） d vs （ 7.5 ± 3.0 ） d ] ,P 〈 0.05 ; the menstruation recovery time of the ultrasonic group was shorter than the traditional group （ 26.7 ± 3.2 ） d vs （32.8 ±4.1 ）d] ,P 〈0.05. （3）Tbe incidence of postoperative complications of the ultrasonic group was less than the traditional group. Conclusion The artificial abortion under ultrasonic guidance is a safe induced abortion method in eieatricial uterus,with the features of easy operation, less intraoperative blood loss, shorter intrauterine operating time, low incidence of postoperative complications and quick recovery, thus is worthy of clinical use.