微创微管人流吸宫术和药物流产的比较观察

Comparison Observation on Microcatheter and microtrauma Induced Abortiona and Medicine Abortion

目的：探讨微创微管人流吸宫术的临床效果，力求为临床医生对终止早孕提供更多的信息和依据。方法：本文对终止妊娠妇女在体检合格，排除禁忌证后，向其介绍了微创术和药物流产各自的特点，并由早孕妇女自主选择。两组各观察60例，共120例。观察流产效果、疼痛情况、副反应情况、术中出血情况、手术时间。结果：微创组完全流产率为95%，明显高于药流组，无疼痛或轻微疼痛，无副反应，所有病例术中出血量均少于30mL。手术时间仅8—15分钟，比传统的人流吸宫术更能在妊娠早早期使用，免麻醉也避免了麻醉风险和减轻了早孕妇女的经济负担。与药流组比较避免了药流流产后出血时间长的不安全因素。结论：微创术操作简便、安全、快捷、经济、出血量小、无痛及轻微疼痛，受术妇女均能忍受，全面提高了人流吸宫术的满意度和可接受性，避免了药流术术后出血的不安全因素。具有较好的临床应用价值。

Objective： To explore the clinical effect of Microcatheter and microtrauma induced abortion and offer more information and basis for the doctors to terminate early pregnancy. Methods： After quali-fied physical examination, introduce the characteristics of introduced and medicine abortion to women who have terminated pregnancy and let them make their own choices. 60 cases in each group, 120 cases in total. Observe the effects of abortion, pain, side effects, bleeding during surgery and surgery time. Re-sults： The induced abortion group has higher complete abortion rate （95%）; it＇s painless; it has no side effects; the bleeding is all less than 30 ml; the surgery only lasts 8-15 minutes. Conclusion. In all, the induced abortion can be inexpensive, effective and safe. It does have great clinical value.