宫腔观察吸引手术系统在无痛人流术中的应用效果观察

Observation of the effect of hysteroscopic observation and suction surgery system in painless abortion

目的观察宫腔观察吸引手术系统在无痛人流术中的应用效果。方法选择2017年7-12月成都医学院第二附属医院门诊行无痛人流且无高危因素的患者250例,接受宫腔观察吸引手术系统终止妊娠的125例患者作为观察组,同期接受传统负压吸引系统终止妊娠的125例患者作为对照组。比较2组术中及术后指标、术后并发症发生率。结果2组首次月经恢复时间、术后腹痛时间、术后流血时间及手术时间比较差异无统计学意义(P>0.05);观察组术中出血量、吸管出入宫腔次数、吸引宫腔次数少于对照组(P<0.01);观察组术后并发症总发生率为5.60%,低于对照组的16.80%(P<0.01)。结论无痛人流术中应用宫腔观察吸引手术系统可以减少术中出血量,提高流产成功率,减少产妇子宫内膜损伤,降低术后并发症发生率,具有较高的安全性,值得临床推广应用。

Objective To observe the effect of hysteroscopy and suction surgery system in painless abortion.Methods Select 250 patients with painless flow and no high risk factors in the outpatient department of the Second Affiliated Hospital of Chengdu Medical College from July 2017 to December 2017.125 patients who underwent hysteric observation and suction system to terminate pregnancy were used as observation group,while 125 patients who underwent traditional negative pressure suction system to terminate pregnancy were used as control group.The intraoperative and postoperative indicators and the incidence of postoperative complications were compared between the two groups.Results There was no significant difference in the time of first menstrual recovery,the time of postoperative abdominal pain,the time of postoperative bleeding,and the time of surgery between the two groups(P>0.05).In the observation group,the amount of intraoperative blood loss,the number of suction and out of the uterine cavity,and the number of suction of the uterine cavity were less than those of the control group(P<0.01);the total incidence of postoperative complications in the observation group was 5.60%,which was lower than 16.80%in the control group(P<0.01).Conclusion The application of hysteroscopic observation and suction surgery system in painless abortion can reduce the amount of intraoperative bleeding,improve the success rate of abortion,reduce maternal endometrial damage,reduce the incidence of postoperative complications,has high safety,and is worthy of clinical promotion.