一次性宫腔组织吸引管用于终止早期妊娠临床观察

Clinical observation of the application of disposable suction curettage tube in the early intrauterine pregnancy

目的 通过对比观察,寻找终止早期妊娠的最佳方法.方法 采用一次性宫腔组织吸引管终止早期妊娠,同时与药物流产、传统金属吸引管加局部浸润麻醉法进行比较,观察完全流产率、术中疼痛、出血量、并发症等.结果 一次性宫腔组织吸引管终止早期妊娠无疼痛或少疼痛,流血时间l～6 d,平均3.5 d,均少于月经量,完全流产率100%,无其他并发症.术后月经恢复时间25～40 d,平均32.8 d,在观察的各个指标上均优于药物流产、宫颈局部浸润麻醉的人工流产术.结论 一次性宫腔组织吸引管终止早期妊娠,时间可提前到35 d,减少了孕妇的痛苦和紧张等待心情,该方法不需扩张宫颈,吸引轻,出血少,孕妇无痛苦或少痛苦,无并发症,恢复快,而且操作简便安全,是终止早期妊娠理想的方法.

Objective To find the best way to terminate early intrauterine pregnancy through comparative observation. Methods Through comparing the method of using disposable suction curettage tube to terminate early intrauterine pregnancy and medical abortion, and the method of induced abortion with traditional metal suction tube combined with local infiltration anesthesia, the complete abortion rate, intraoperative pain, blood loss and complications,etc were observed. Results Using disposable suction curettage tube to terminate early intrauterine pregnancy can result in no pain or less pain,with a bleeding time 1 to 6 days ,3.5 days on average ,both of which less than menstrual volume,with 100% complete abortion and no complications. Postoperative recovery time of period was 25 to 40 days,32.8 days on average. This method was better than medical abortion and induced abortion with local infiltration anesthesia. Conclusion Using disposable suction curettage tube to terminate early intrauterine pregnanncy did not need cervical dilation,and had advantage of light suction,less bleeding,no pain or less pain for pregnant women,no complications,rapid recovery,and was easy and safe to operate. It was the best way to terminate early intrauterine pregnancy.