三种方法人工流产术的临床效果对比

A Comparative Study on the Clinical Effects of Three Methods of Artificial Abortion

目的:对三种方法人工流产术术中、术后情况及临床效果进行对比研究。方法:2016年9月到2017年9月在我院行人工流产术患者932例,其中273例选择无痛人工流产术(A组),368例选择无痛B超监测下人工流产术(B组),291例选择摄像吸引管应用下的无痛人工流产术(C组)。记录并比较3组患者手术时间、阴道流血量、术后月经复潮时间、费用及子宫穿孔、术后残留、感染、月经异常、子宫颈粘连、宫腔粘连发生情况。结果:C组阴道流血量较A、B组明显减少,月经复潮时间较A、B组缩短,手术费用较A、B组增加,差异有统计学意义(P<0. 05);虽然C组手术时间较A、B组长,但差异无统计学意义(P>0. 05)。B组患者手术时间虽然短,但与A组差异无统计学意义(P>0. 05);阴道流血量与C组差异无统计学意义(P>0. 05);费用高于A组,低于C组(P<0. 05)。C组患者子宫穿孔、术后残留、月经异常、子宫颈粘连的发生率显著低于A、B组,差异有统计学意义(P<0. 05)。B组术后子宫穿孔、术后残留、月经异常、宫腔粘连的发生率较A组低,但较C组高(P <0. 05)。结论:摄像吸引管应用下的无痛人工流产术可显著提高人工流产术的安全性。

Objective: To compare the clinical effects of three methods of artificial abortion.Methods: We collected randomly 932 cases of outpatient surgery patients of artificial abortion in the hospital from September 2016 to September 2017,including 273 cases of painless induced abortion( marked as group A),368 cases of painless ultrasoundmonitoring induced abortion( marked as group B),and 291 cases of painless induced abortion under the application of camera suction tube( marked as group C). In the three groups of patients,the postoperative bleeding volume,operation time,postoperative menstrual recovery time,total cost,uterine perforation,postoperative residual,infection,abnormal menstruation,the incidence of uterine adhesion and other complications were compared.Results: Compared with group A and B,vaginal bleeding volume was significantly reduced in group C menstruation recovery time was shortened and surgery cost was increased,with statistically significant difference( P<0. 05).Although the operation time was longer than that in group A and group B,the difference was not statistically significant( P >0. 05).Although the operation time of group B was short,there was no significant difference in group A( P >0. 05) and vaginal bleeding was not significantly different from group C( P >0. 05);The total cost in group B was higher than group A and lower than group C( P<0. 05).The incidence of uterine perforation,postoperative residual,menstrual abnormality and cervical adhesion in group C was significantly lower than that in group A and B,with statistically significant differences( P<0. 05).The incidence of postoperative uterine perforation,postoperative residual,menstrual abnormality and intrauterine adhesion in group B was lower than that in group A,but higher than that in group C( P<0. 05).Conclusions: Painless artificial abortion under the application of video suction tube can significantly improve the safety of induced abortion,and is worthy of clinical promotion.