早孕合并高危因素人工流产术中应用B型超声检查的安全性与可靠性

Safety and reliability of type B ultrasonic examination in induced abortion of cases with early pregnancy combined with high risk factors

目的探讨早孕合并高危因素人工流产术中应用B型超声检查的安全性与可靠性。方法选取因早孕合并高危因素人工流产术患者80例,依据随机数字表法分为B型超声引导下人工流产术组和常规人工流产术组各40例,对两组患者的手术时间、术中出血量、术后出血时间、子宫收缩情况及术中术后并发症发生情况进行统计分析。结果 B型超声组患者的术中出血量显著少于常规手术组,手术时间、术后出血时间均显著短于常规手术组,子宫收缩情况显著长于常规手术组,差异均有统计学意义(P<0.05);B型超声组不全流产、漏吸、子宫穿孔、感染、月经改变、宫腔粘连发生率分别为2.5%、0.0%、0.0%、2.5%、5.0%、2.5%,均显著低于常规手术组的7.5%、2.5%、2.5%、7.5%、12.5%、10.0%,差异均有统计学意义(P<0.05)。结论早孕合并高危因素人工流产术中应用B型超声检查安全可靠。

Objective To explore the safety and reliability of type B ultrasonic examination in induced abortion of cases with early pregnancy combined with high risk factors. Methods Eighty cases with early pregnancy combined with high risk factors underwent artificial abortion in the hospital,then all the cases were divided into type B ultrasound-guided artificial abortion group and conventional artificial abortion group,40 cases in each group. The operation time,the amounts of blood loss during operation,bleeding time after operation,uterine contraction,intraoperative and postoperative complications in the two groups were analyzed statistically. Results The amount of blood loss during operation in type B ultrasound-guided artificial abortion group was significantly lower than that in conventional artificial abortion group,the operation time and bleeding time after operation in type B ultrasound-guided artificial abortion group was significantly shorter than that in conventional artificial abortion group,there were statistically significant differences（ P〈0. 05）; the incidence rates of incomplete abortion,suction leaks,uterine perforation,infection,menstrual changes,and intrauterine adhesion in type B ultrasound-guided artificial abortion group were 2. 5%,0. 0%,0. 0%,2. 5%,5. 0%,and 2. 5%,respectively,which were statistically significantly lower than those in conventional artificial abortion group（7. 5%,2. 5%,2. 5%,7. 5%,12. 5%,10. 0%）（ P〈0. 05）. Conclusion Type B ultrasonic examination is safe and reliable in induced abortion of cases with early pregnancy combined with high risk factors.