超声引导下行人工流产清宫术的有效性及安全性探讨

The Efficacy and Safety of Ultrasound-Guided Abortion Abortion

目的:研究超声引导下行人工流产清宫术的有效性及安全性。方法:选择2021年7月~2022年12月在本院就诊的400例人工流产患者。遵循患者的意愿进行分组,将进行常规人工流产清宫术的患者纳入对照组,将进行超声引导下行清宫术的患者纳入观察组。评价两组手术指标、并发症发生率,并对满意度进行问卷调查。结果:观察组的术中出血量为(8.53±2.17)mL,手术耗时为(6.74±1.80)min,一次性清宫成功率为99.50%、疼痛感评分为(2.39±0.45)分,均优于对照组的(15.40±3.22)mL、(14.26±2.71)min、90.00%、(3.84±0.71)分,P<0.05;观察组的经期恢复时间为(31.25±2.60)d,出血恢复时间(4.03±0.85)d,留院观察时间为(1.37±0.19)h,均短于对照组的(38.86±3.76)d、(5.78±1.16)d、(2.01±0.28)h,P<0.05;并发症发生率方面,观察组比对照组低[1.50%(3/200)VS.7.00%(14/200)],关于满意度数据,观察组居更高水平[99.00%(198/200)VS.91.00%(182/200)],P<0.05。结论:超声引导下行人工流产清宫术能够缩短手术耗时,促进一次性清宫成功率的提高,可减少并发症的发生,提升患者满意度。

Objective:To study the effectiveness and safety of ultrasound guided abortion.Methods:Select 400 induced abortion patients treated in our hospital from July 2021 to December 2022.Following the wishes of the patients,patients with conventional induced abortion will be included in the control group,and patients with ultrasound-guided downward uterine clearance will be included in the observation group.Evaluation of surgical index and complication rate in both groups and questionnaire of satisfaction.Results:The intraoperative blood loss in the observation group was(8.53±2.17)mL,the surgical time was(6.74±1.80)min,the success rate of one-time curettage was 99.50%,and the pain score was(2.39±0.45)points,all of which were better than the control group’s(15.40±3.22)mL,(14.26±2.71)min,90.00%,and(3.84±0.71)points,with P<0.05;The menstrual recovery time of the observation group was(31.25±2.60)days,the bleeding recovery time was(4.03±0.85)days,and the hospital observation time was(1.37±0.19)hours,all of which were shorter than the control group’s(38.86±3.76)days,(5.78±1.16)days,and(2.01±0.28)hours,with P<0.05;In terms of the incidence of complications,the observation group was lower than the control group[1.50%(3/200)VS.7.00%(14/200)].Regarding satisfaction data,the observation group was at a higher level[99.00%(198/200)VS.91.00%(182/200)],with P<0.05.Conclusion:Ultrasound-guided descending abortion uterine clearance can shorten the operation time,improve the success rate of one-time uterine clearance,reduce the occurrence of complications and improve patient satisfaction.