B超引导下微管微创无痛人流的临床疗效观察

目的探讨B超引导下微管微创无痛人流术的临床疗效。方法调查2011年2月2012年8月自愿要求终止妊娠的患者183例，随机分为A组药物流产组（n=91）、B组传统负压吸引术组（n=91）和c微管微创组（n=91），A组采用米非司酮和米索前列酮联合用药，B组采用负压吸引术，C组采用微管微创人流手术。观察比较3组手术时间、出血量、疼痛、完全流产率以及患者是否出现人流综合征。结果3组无痛率分别为12．09％、34．07％、91．21％，C组与A组、B组比较，有统计学差异（P〈0．05）。3组完全流产率分别为91．21％、94．51％、97．80％，3组完全流产率无统计学差异（P〉0．05）；3组人流综合征发生率分别为1．32％、7．69％、3．30％，3组人流综合征发生率有统计学差异（P〈0．05）；C组手术时间短于A组和B组（P〉0．05）；C组术中出血量少于A组和B组（P〉0．05）、C组术后出血天数短于A组和B组（P〈0．05）。结论B超引导下微管微创人流术具有无痛率高、手术时间短、人流综合征发生低等特点，是一种安全有效的人工流产方法，值得在临床上得到推广。

Clinical curative effect of minimally invasive painless abortion microtubules by B -mode ultrasonography

Objective To discuss the clinical curative effect of minimally invasive painless abortion microtubules by B mode uhrasonography. Methods There were 183 patients who voluntary termination of pregnancy from 2011 February to 2012 August, were randomly divided into group A （drug abortion group, n = 91 ）, group B （traditional vacuum aspiration group, n = 91 ） and group C（ microtubules minimally invasive group, n = 91 ）, group A used combination therapy with mifepristone and misoprostol dinoprostone, group B used negative pressure aspiration, group C used microtubules of min imally invasive operation. The three groups were observed, and the operation time, bleeding volume, pain, complete a bortion rate and whether the patient appeared abortion syndrome were compared. Results The painless rate of three groups was 12.09%, 34.07%, 91.21%, respectively, there was a statistically significant difference（P 〈0. 05 ）. The complete abortion rates of three groups was 91.21%, 94. 51% and 97. 80%, respectively, there were no significant differences（ P 〉 0.05 ）. The incidence of induced abortion syndrome of three groups was 1.32%, 7.69%, and 3.30%, respectively, there were significant differences（P 〈 0.05）. The operation time of group C was shorter than that of group A and group B （P 〉 0.05 ） ; bleeding volume in operation of group C was less than that of group A and group B （ P 〉 O. 05 ） ; postoperative bleeding days of group C was shorter than that of group A and group B （ P 〈 O. 05 ）. Conclusions The minimally invasive painless abortion microtubules by B mode ultrasonography painless abortion microtubules with high rate, short operation time, and low abortion syndrome, which is a safe and effective method of abortion, and is wor thy of clinical promotion.