阴道B超下可视人流术和传统人流术临床效果及并发症对比研究.docVIP

阴道B超下可视人流术和传统人流术临床效果及并发症对比研究 　　【摘要】目的：观察和对比阴道B超下可视人流术与传统人流术临床效果及其并发症的发生情况。方法：选取2013年1月至2014年1月自愿在我中心进行人工流产的孕妇100例，按照随机数字表的方法，将其随机分为观察组（n=50）和对照组（n=50）。观察组的孕妇在阴道B超的引导下行可视人工流产术，对照组的孕妇按照传统方法进行人工流产术。观察并比较两组孕妇的手术成功率、平均手术时间、术中出血量、吸宫不全发生率、子宫穿孔发生率、人流综合征发生率。结果：观察组孕妇的平均手术时间显著短于对照组（P0.05）。结论：阴道B超下可视人工流产术具有直观性，能够动态观察孕妇宫腔内的情况变化，从而更加准确地引导手术器械的操作，可以检测吸刮物是否刮干净以及手术以后子宫的情况，能够在最大限度内减少发生术后并发症。 　　【关键词】阴道B超；人工流产术；临床效果；并发症 　　【Abstract】Objectives： To observe and compare the clinical effect and complications of visual induced abortion under vaginal ultrasound and traditional induced abortion. Methods： 100 pregnant women voluntary to receive induced abortion operation from January 2013 to January 2014 in our center were selected and randomly divided into the observation group （n=50） and the control group （n=50）. The observation group was given vaginal ultrasound visual induced abortion and the control group was given traditional induced abortion. The surgical success rate， average operation time， intraoperative blood loss， incidence of incomplete suction palace， uterus perforation rate， incidence of abortion syndrome of the two groups were observed and compared. Results： The average operation time of the observation group was significantly shorter than that of the control group （P0.05）. The intraoperative blood loss of the observation group was significantly less than that of the control group （P0.05）. The incidence of incomplete suction palace， uterus perforation rate and incidence of abortion syndrome of the observation group were significantly lower than these of the control group （P0.05）. Conclusion： Visual induced abortion under vagina ultrasound can observe the intrauterine change of pregnant women， which can more accurately guide the operation of surgical instrument. It can detect the clearance of suction scraping and the situation of uterus after operation， which can reduce the postoperative complications to the maximum limit. 　　【Key words】Vaginal ultrasound； Induced abortion； C