探讨阴道超声引导人工流产与普通人工流产的临床疗效.docVIP

精品论文 参考文献 探讨阴道超声引导人工流产与普通人工流产的临床疗效 方正县妇幼保健院 150800 摘要：目的：研究分析阴道超声引导人工流产的临床效果并与普通人工流产进行对比。方法：此次研究的对象是选择行阴道超声引导人工流产的孕妇200例。并作为观察组，同时选取行普通人工流产术的孕妇200例为对照组，比较观察组与对照组各自在术中以及术后所发生的各种并发症情况。结果：术中出血量观察组较对照组明显减少，手术时间亦较对照组明显缩短，两组之间差异具有统计学意义。术后阴道流血时间两组相比差异无统计学意义，观察组术中没有发生子宫穿孔、吸宫不全及漏吸等。两组均无人工流产综合征发生。术后并发症观察组发生6例，对照组发生25例，两组术后并发症发生率比较差异具有统计学意义（Plt;0.01）。结论：阴道超声引导人工流产术准确安全可靠，临床效果较好。 关键词：阴道超声引导；人工流产；临床效果 Abstract Objective：To study the clinical effect of transvaginal ultrasound guided induced abortion and compare it with common induced abortion. Methods：the study was performed in 200 pregnant women who were guided by transvaginal ultrasound. And as the observation group，200 cases of pregnant women were selected as control group，compared with the control group，each of the complications occurred during the operation and after operation. Results：the amount of bleeding in the observation group was significantly decreased compared with the control group，the operation time was significantly shorter than that of the control group，the difference between the two groups was statistically significant. There was no significant difference in the time of vaginal bleeding after operation between the two groups. The observation group did not have uterine perforation，incomplete uterine aspiration and leakage. No induced abortion syndrome occurred in the two groups. Postoperative complications were observed in 6 cases，25 cases in the control group，the difference in the incidence of postoperative complications between the two groups was statistically significant（Plt;0.01）. Conclusion：the transvaginal ultrasound guided artificial abortion is safe and reliable，and the clinical effect is good. Key words transvaginal ultrasound induced abortion clinical effect 人工流产术是在意外怀孕以后为了终止妊娠而采取的一种较为有效补救措施，一般情况下较为常见的人工流产术是在盲视情况下进行，手术是否成功全靠操作者的经验和手感，因此容易发生空吸、漏吸、出血过多或吸宫不全，甚至子宫穿孔等并发症[1]。随着超声介入技术的不断向前发展，其在妇科中的应用越来越多，人工流产术在阴道超声引导下进行操作，使得手术成功率高，并且明显消除普通人工流产术中各种远、近期并发症，手术后患者恢复快，临床效果好[2]。我院自2010年开展阴道超声引导下人工流产手术