腹部超声引导下子宫前腹壁粘连伴不全流产行清宫术12例临床分析.docxVIP

腹部超声引导下子宫前腹壁粘连伴不全流产行清宫术12例临床分析 何荟1 余燕2 （1四川省成都市妇女儿童屮心医院 四川 成都 610031） （2四川省巴屮市屮心医院 四川巴屮635500） 【摘要】目的:探讨腹部超声引导下子宫前腹壁粘连伴不全流产行清宫术的 临床价值。方法：总结12例经腹部超声引导下子宫前腹壁粘连伴不全流产行清 宫术（观察组）与12例盲视子宫前腹壁粘连伴不全流产行清宫术（对照组）。观 察两组手术时间、手术出血量、手术并发症。结果：清宫手术时间观察组 7.50plusmn;2.46min,对照组 17.08plusmn;2.78min,两组比较有显著差异性 （t=8.93, plt;0.05），术中出血量观察组 12.58plusmn;2.19mL,对照组 24.17plusmn;5.76mL,两组比较有显著差异性（t=6.51, plt;0.05），术中术后并 发症两组比较在月经量减少、清宫不全、闭经、子宫穿孔的发生率对照组高于观 察组。结论：经腹部超声引导下子宫前腹壁粘连伴不全流产行清宫术有效降低手 术难度，减少部分手术并发症的发生，值得推广应用。 【关键词】腹部超声；子宫前腹壁粘连；流产；清宫术 【屮图分类号】R713 【文献标识码】A 【文章编 号】2095-1752 （2015） 05-0032-03 12 cases of clinical analysis on curettage under adhesion of uterine anterior abdominal wall with incomplete abortionBy the guidanee of abdominal ultrasound He Hui.Sichuan Provincial Hospital for Women,Sichuan Chengdu 610031,China; Yu Yan. The Central Hospital of Bazhong City? Sichuan Bazhong 635500,China [Abstract] Objective Exploring the clinical value of curettage under adhesion of uterine anterior abdominal wall with incomplete abortion by the guidanee of abdominal ultrasound. Methods Summarizing 12 cases of curettage (observation group) under adhesion of uterine anterior abdominal wall with incomplete abortion by the guidanee of abdominal ultrasound and 12 cases of curettage (contrsol group) adhesion of uterine anterior abdominal wall with incomplete abortion by blind sight. The operating time, bleeding volume and surgical complications were observed? Results The time of curettage operation for observation group is 7.50plusmn;2.46 min, compared to 17.08plusmn;2.78 min for control group. The differenee between the two groups is distinctive with t=8.93 and plt;0.05. The bleeding volume during operation for observation group is 12.58plusmn;2.19 mL, compared to 24.17plusmn;5.76 mL for control group. The differenee is also distinctive with t=6.51 and plt;0.05. Moreover, from the aspects of intraoperative complications (occurre nee of decrease in men strual qua ntity, in complete curettage, ame norrhea a