微创方式行早期人工流产并发症情况分析

目的:探讨目前常用的微创方式行人工流产手术的并发症情况。方法:对因早期妊娠采用不同手术方式行人工流产的300例患者一般情况及并发症情况进行研究。300例患者按手术方式选择分3组,A组为传统人工流产100例,B组为"无痛+可视"人工流产100例,C组为"无痛+可视+微管"人工流产100例。人工流产方式对患者术后并发症情况进行调查随访及研究分析,随访时间为术后2周及术后2月。结果:3组相比C组术中出血发生率更高,手术时间最长,差异有统计学意义(P<0.01);A组中吸宫不全发生率更高,差异有统计学意义(P<0.01);A组并发症总发生率最高,差异有统计学意义(P<0.01)。结论:运用无痛及超声可视技术行早期人工流产能减少并发症发生,加用微管技术后并发症发生未减少。

Complications of early induced abortion by mini-invasive methods

Objective:To explore the clinical complications of early induced abortion by mini-invasive methods. Methods:One hundred early pregnant women who underwent normal vacuum aspiration curettage voluntarily from June 2011 to December 2011 were selected as group A,while one hundred early pregnant women who demanded painless and visible vacuum aspiration curettage during the same period were selected as group B,and another one hundred early pregnant women who demanded painless,visible vacuum aspiration curettage using microtubules were divided into group C.Patients' general condition,methods chosen,perioperative complications were analyzed. Results:The incidence of intraoperative hemorrhage of patients in Group C was the highest,and operation time of patients in group C was the longest(P<0.01).The incidence of incomplete abortion of patients in group A was the highest(P<0.01).The total incidence of complications of patients in group A was the highest(P<0.01). Conclusion:Painless and visible technique for vacuum aspiration curettage can reduce the complication rate.The complications do not decrease with microtubules added.