疤痕子宫哺乳期人工流产的手术方法分析

Analysis of the surgical method of artificial abortion in scar uterus

目的对疤痕子宫哺乳期孕妇人工流产的手术方法以及手术效果进行分析。方法选取2013年4月--2015年3月我院进行人工流产的疤痕子宫哺乳期孕妇84例作为研究对象，随机将其分为对照组41例和观察组43例。对照组给予单用贞压吸引人工流产法，观察组给予阴道用米索前列醇、利多卡因局麻下行人工流产术。结果观察组宫颈松弛总有效率以及流产完全率分别为90．7％和93．0％，显著高于对照组的75．6％和73．2％；同时观察组术中出血量显著少于对照组，VAS评分显著低于对照组，差异均有统计学意义（P〈0．05）。结论对疤痕子宫哺乳期孕妇选择阴道用米索前列醇、利多卡因局麻下行人工流产术具有显著的效果。

Objective To analyze the operation methods of uterine scar of lactating women and abortion operation effect. Methods Selected in 2013 April to 2015 March to our hospital for abortion of scar uterus lactating women 84 cases were divided into control group 41 cases and observation group 43 cases. The control group of pregnant women given by negative pressure attract abortion law, pregnant women in observation group received vaginal misoprostol and lidocaine local anesthesia in artificial abortion operation. Results Observation group of pregnant women, cervical relaxation of the total efficiency and abortion complete rate. was 90.7% and 93.0%, significantly higher than the control group of pregnant women, 75.6% and 73.2%. At the same time, observation group of pregnant women, intraoperative bleeding volume was significantly lower than that of the control group, VAS scores were significantly lower than the control group, the difference is statistically significant （P〈0.05）. Conclusion Of scar uterus of lactating women choose the vagina with misoprostol and lidocaine local anesthesia in artificial abortion has significant effect.