可视b超在钳刮术中的应用.pdfVIP

可视 B 超在钳刮术中的应用 作者：任松，贾爱花，杜占军，张彦玲，韩雪珍，王志芹 【摘要】目的：探讨可视 B 超钳刮术较常规钳刮术所具有的优点。 方法： 我院 2007 年 12 月～2008 年 12 月收治的 48 例孕 11～ 14 周终 止妊娠患者随机分为两组，治疗组采用可视 B 超钳刮术，对照组采用 常规钳刮术，比较两组的手术时间、术中出血量、宫内残留物及二次 清宫情况。 结果： 对照组手术时间 [(15.0 ±2.1) min] 明显长于治疗组 [(8.0 ±1.8)min](Plt;0.05), 出血量 [(7.9 ±15.3)mL] 明显多于治疗 组[(4.0 ±14.7)mL] (Plt;0.05) ，对照组 24 h 后复查 B超 4 例 (16.67%) 宫内有残留物， 并行二次清宫术， 治疗组 24 h 后复查 B超无 1 例宫内 有残留物， 两组差异有统计学意义 (Plt;0.05) 。结论：可视 B 超下钳 刮术整个手术过程由盲视操作变为可视操作，较常规钳刮术具有手术 时间短、出血量少、无残留、避免二次清宫的优点，值得临床推广。 【关键词】 可视 B超钳刮术 ; 常规钳刮术 ; 疗效 [ABSTRACT]Objective: To investigate the advantages of termination of pregnancy of 11 ～ 14 weeks througth forceps curettage guided by video B mode sonography over conventional forceps curettage. Methods: Forty eigth pregnant womengoing to terminate pregnancy of 11 ～ 14 weeks from December 2007 to 1 December 2008 were randomized into two groups (group Aand B); pregnant women of group A were undergone termination of pregnancy through forceps curettage guided by video B mode sonography, pregnant womenof group Bwere undergone termination of pregnancy through conventional forceps curettage. The operative time, bleeding volume, residual of embryo, and secondary curettage were compared between the two groups. Results: The operative time of group A and B were (8.0 ± 1.8) min and (15.0 ± 2.1) min respectively, and there was significant difference between the two groups (Plt;0.05); the amount of bleeding of group A and B were (7.9 ± 15.3) mL and (40 ± 14.7) mL respectively,