宫腔观察吸引手术系统在无痛人工流产术中的应用效果

Effect of application with direct visualization and vacuum aspiration system in painless artificial abortion

目的探讨在早期无痛人工流产中宫腔观察吸引手术系统的手术临床疗效。方法采用回顾性研究,选取2018年1~12月在首都医科大学附属北京友谊医院计划生育门诊就诊且自愿要求行早期人工流产手术的妇女1 309例,其中自愿要求使用宫腔观察吸引手术系统行早期人工流产术终止妊娠的妇女659例作为研究组,同期选取要求使用传统负压吸引装置行早期人工流产术终止妊娠的妇女650例作为对照组,对比两组手术时间、术中出血量、术后出血时间、月经复潮情况以及术中、术后并发症发生率等情况。结果研究组及对照组手术时间(4.63±0.32 min vs.4.65±0.33 min)、术中出血情况(12.78±2.38 ml vs.12.92±2.10 ml)比较,差异无统计学意义(P>0.05);研究组术后月经恢复时间(33.4±2.27 d)及月经量减少发生率(8.04%)明显低于对照组(34.1±2.21 d,12.00%),差异有统计学意义(P<0.05)。在人工流产术中及术后并发症方面,研究组人工流产不全的发生率(0.91%)明显低于对照组(3.23%),差异具有统计学意义(P<0.05),而两组在其他并发症包括人工流产综合征、子宫穿孔、漏吸、闭经、感染、宫颈粘连等发生率比较,差异均无统计学意义(P>0.05)。结论与传统负压吸引人工流产相比,使用宫腔观察吸引手术系统进行人工流产更具有安全、直观等特点,术后月经恢复时间短,宫腔残留等并发症及二次清宫的发生率低,临床疗效值得肯定。

Objective To explore the clinical effect of direct visualization and application of vacuum aspiration system in early pregnancy.Methods This study was a reviewing trial.A total of 1 309 women during January to December 2018 with voluntarily induced abortion in the family planning clinic of this hospital were selected.659 women were voluntarily requested for the application of direct visualization and vacuum aspiration system in early abortion,they were included in the study group,and 650 women with standard vacuum aspiration device were selected as the control group.The operating time,amount of intraoperative blood loss,duration of postoperative bleeding,the recovery period for menstruation and intraoperative and postoperative complications were compared between these two groups.Results There was no significant difference in operating time(4.63±0.32 min vs.4.65±0.33 min)and intraoperative bleeding(12.78±2.38 ml vs.12.92±2.10 ml)between study group and control group(P>0.05).The recovery time of menstruation(33.4±2.27 d)and the decrease of menstrual flow(8.04%)in study group were significantly lower than those of control group(34.1±2.21 d,12.00%),and the difference was statistically significant(P<0.05).The postoperative complications of abortion and incidence of incomplete abortion in study group(0.91%)were significantly lower than those of control group(3.23%),and the difference was statistically significant(P<0.05),while other complications including abortion syndrome,uterine perforation,leakage,amenorrhea,infection,cervical adhesion,etc.,and the difference of these two groups was not statistically significant(P>0.05).Conclusion In comparison with standard vacuum aspiration abortion,it is safer and more direct to use direct visualization and vacuum aspiration system in induced abortion.The postoperative menstrual recovery time is short,complications such as incomplete abortion and rate of secondary operation is lower than others,the clinical efficacy is worthy to be for recognition.