内窥式负压吸宫术的临床价值

Clinical value of endoscopic vacuum aspiration curettage

目的:探讨内窥式负压吸宫术在非高危人群中的临床应用价值。方法:选择2010年1月～2011年9月自愿选择内窥式负压吸宫术的早孕妇女300例(可视人流组),选取同期要求实施传统负压吸宫术的非高危人流者300例(传统人流组),分析两组产妇的术中疼痛、术中出血、术后出血天数、并发症及手术满意度情况。结果:①可视人流组术中疼痛明显轻于传统人流组(P<0.05);②两组术中出血量比较差异无统计学意义(P<0.05),但可视人流组术后出血天数明显少于传统人流组(P>0.05);③两组无子宫穿孔发生,两组人流综合征、人流不全、宫腔感染、宫颈粘连及月经失调比较差异无统计学意义(P>0.05)。④可视人流组手术满意度明显好于传统人流组(P<0.05)。结论:内窥式负压吸宫术值得在临床推广应用。

Objective： To explore the clinical application value of endoscopic vacuum aspiration curettage in non - high risk popu- lation. Methods： Three hundred early pregnant women who underwent endoscopic vacuum aspiration curettage voluntarily from January 2010 to September 2011 were selected as visual induced abortion group, while three hundred early pregnant women without high risk factors who demanded routine vacuum aspiration curettage during the same period were selected as routine induced abortion group. The degrees of intrao- perative pain, the amounts of blood loss during operation, the duration times of postoperative hemorrhage, the incidences of complications, and the satisfaction rates of operation among the pregnant women in the two groups were analyzed. Results： The degree of intraoperative pain in visual induced abortion group was significantly lower than that in routine induced abortion group （P 〈 0. 05 ） . There was no statistically significant difference in the amount of blood loss during operation between the two groups （P 〉 0. 05 ） , but the duration time （unit： day） of postoperative hemorrhage in visual induced abortion group was significantly shorter than that in routine induced abortion group （ P 〈 0. 05 ） . No uterine perforation occurred in the two groups; there was no statistically significant difference in the incidences of induced abortion syn- drome, incomplete abortion, uterine infection, cervical adhesion, and menstrual disorder between the two groups （ P 〉 0. 05 ） . The satisfac- tion rate of the pregnant women in visual induced abortion group was significantly higher than that in routine induced abortion group （ P 〈 0.05） . Conclusion： Endoscopic vacuum aspiration curettage is worthy to be popularized and applied in clinic.