超声引导下微型吸管加宫颈表面麻醉用于早孕无痛人工流产的临床观察

Clinical Observation on Application of Ultrasound-guided Micropipette and Cervical Surface Anaesthesia in Induced Abortion of Early Pregnancy Patients

目的观察超声引导下微型吸管加宫颈表面麻醉在早孕无痛人工流产的临床效果。方法将256例早孕人工流产患者随机分为观察组和对照组各128例。对照组采用微型吸管人工流产术,观察组采用在超声引导下行微型吸管加宫颈表面麻醉人工流产术,对患者发生人工流产综合征例数、疼痛程度、术中出血量及术后不适感消失时间进行观察。结果 观察组人工流产综合征3例、无痛78例、轻度疼痛40例,术中平均出血量为(19.34±6.14)mL,不适感消失平均时间为(21.72±7.10)min,与对照组比较差异均有统计学意义(P<0.05)。结论超声引导下微型吸管加宫颈表面麻醉用于早孕无痛人工流产术能减少并发症,减轻损伤,有微创的效果,值得推广应用。

Objective To observe clinical effect of ultrasound-guided micropipette and cervical surface anaesthesia in abortion of early pregnancy patients. Methods 256 cases of first trimester induced abortion patients were randomly divided into two groups： the observation group and the control group,with 128 cases in each. The control group used micropipette induced abortion and the observation group adopted ultrasound-guided micropipette and cervical surface anaesthesia for induced abortion. The number of cases of abortion syndrome,pain,blood loss and disappearance time of postoperative discomfort were observed. Results In observation group ,there were 3 cases of abortion syndrome,78 eases of painlessness,40 cases of mild pain,and mean blood loss was（19.34± 6.14） mL,average time of discomfort disappearance was （21.72±7.10）min;The differences compared with the control group were statistically significant （P〈0.05）. Conclusion Ultrasound-guided micropipette and cervical surface anaesthesia induced abortion for early pregnancy can reduce complications and damage, has minimally invasive effects and should be widely applied.