超声监测下畸形子宫早孕无痛人流术的应用及效果评价

The application and effect evaluation of ultrasonic monitoring of abnormal uterine bleeding in early pregnancy

目的探讨分析超声监测下畸形子宫早孕无痛人流术的应用及效果评价。方法选择我院在2015年1月~2016年6月期间收治的74例畸形子宫早孕者为观察对象,并随机平均分为实验组(给予超声监测下行无痛人流术)组和对照组(给予常规无痛人流术),每组各37例。比较两组患者的术中出血量、手术时间、人流不全率、手术并发症发生情况,术后随访3个月的月经恢复情况,术后并发症情况,手术前和术后第4周用焦虑自评量表(SAS)和抑郁自评量表(SDS)评价两种治疗方法对患者精神、心理状态的影响。结果实验组患者术中出血量、手术时间、人流不全率均明显优于对照组,差异有统计学意义(P<0.05);实验组患者术中并发症发生率显著优于对照组,差异有统计学意义(P<0.05);术后随访3个月的月经恢复情况及术后并发症情况明显优于对照组,差异有统计学意义(P<0.05);术前两组患者SDS和SAS评分无明显差异(P>0.05),实验组患者术后第4周时的SAS及SDS评分明显低于对照组,差异有统计学意义(P<0.05)。结论相比于常规无痛人流术,超声监测下行无痛人流术对于畸形子宫早孕者,能够显著降低患者人流不全率、手术时间、术中出血量及手术并发症发生情况,提高患者术后恢复速度,对患者的精神、心理也有明显的干预作用,值得临床推广。

Objective To investigate the application and effect evaluation of painless abortion under the condition of ultrasonic monitoring in early pregnancy. Methods In our hospital,74 cases of abnormal uterine pregnancy from January 2015 to June2016 were treated as observation objects,and were randomly divided into experimental group（ treated with ultrasound-guided painless abortion group） and control group（ routine painless abortion）,with 37 cases in each group. The amount of bleeding,operation time,incomplete abortion rate and surgical complications were compared between the two groups of patients with intraoperative and postoperative follow-up of 3 months of menstruation recovery,postoperative complications,preoperative and postoperative fourth weeks with the self rating Anxiety Scale（ SAS） and self rating Depression Scale（ SDS） the effect of two kinds of treatment methods to evaluate the mental and psychological status of patients. Results The bleeding volume,operation time,incomplete abortion rate were significantly better than the control group of patients in the experimental group,the difference was statistically significant（ P〈0. 05）; The patients of experimental group were significantly better than the control group,the difference was statistically significant（ P〈0. 05） by postoperative follow-up for 3 months. Menstrual recovery and postoperative complications were significantly better than the control group,the difference was statistically significant（ P〈0. 05）; two patients in group SDS and SAS were no significant differences in the preoperative（ P〈0. 05）. As for SAS and SDS of experimental group patients after fourth weeks when the score was significantly lower than the control group,the difference was statistically significant（ P〈0. 05）. Conclusion Compared to conventional painless abortion,ultrasound-guided painless abortion for early pregnancy with abnormal uterus can significantly reduce the patients with incomplete abortion rate,operation time,intraoperative blood loss and surgical complications,improve patient recovery rate,but also,has a significant intervention effect on patients with mental,psychological effects,worth clinical application.