内窥可视宫腔组织吸引系统用于早孕人工流产的临床观察

Termination of early pregnancy by visualized vacuum aspiration system

目的观察内窥可视宫腔组织吸引系统临床应用效果。方法本研究共纳入60例非意愿妊娠而要求终止者,随机分配到试验组(内窥可视宫腔组织吸引系统人工流产术)和对照组(常规负压吸引术),每组各30例,观察2种手术方式的应用效果。结果两组均未发生不全流产、子宫穿孔、人工流产综合征、大出血及感染等并发症。试验组手术时间[(6.9±1.9)min]较对照组显著增加[(4.6±1.0)min,P=0.000];术中疼痛、手术出血量及术后出血时间等组间差异均无统计学意义(P>0.05)。结论内窥可视宫腔组织吸引系统安全性较好,可试用于帮助减少人工流产手术对于手术者经验的过度依赖,以降低人工流产并发症的发生。但本试验样本量较小,可扩大样本进一步研究。

Objective To observe the effect of visualized vacuum aspiration system in termination of early pregnancy. Methods Sixty subjects were randomized to the experimental group and control group to evaluate the clinical effect. Results There were no complications for both groups such as incomplete abortion, perforation of the uterus, abortion syndrome, haemorrhage and infection. The operation time was significant longer in the experimental group [（6.9±1.9） min] than that in the control [（4.6±1.0） min, P=0.000]. There were no differences in pain, bleeding amount during the operation and bleeding time after operation between the two groups. Conclusion The visualized vacuum aspiration system may reduce the reliance on the experience of gynecologists and reduce the incidence of complications of induced abortion. Larger sample size and further exploration are needed to prove the effectiveness and safety of the visualized vacuum aspiration system.