宫腔镜手术与传统清宫术在稽留流产治疗中的应用效果对比

Comparison of Hysteroscopic Surgery and Traditional Curettage in the Treatment of Missed Abortion

对比稽留流产患者应用宫腔镜手术与传统清宫术治疗的临床疗效。选取2022年1月—2023年12月岑巩县妇幼保健院收治的92例稽留流产患者为研究对象,以随机数字表法将其分为观察组和对照组两组,每组各46例。其中对照组患者应用传统清宫术治疗,观察组患者应用宫腔镜手术治疗,对比两种手术治疗方案的手术情况、患者月经复潮情况以及并发症发生情况。结果显示,观察组患者的手术时间、住院时间、阴道流血持续时间、月经恢复时间均短于对照组,术中出血量少于对照组,差异有统计学意义(P<0.05)。观察组患者月经复潮后出现月经量减少和增多的情况明显优于对照组,差异有统计学意义(P<0.05)。观察组患者并发症的发生率低于对照组,差异有统计学意义(P<0.05)。研究发现,应用宫腔镜手术治疗稽留流产具有更好的治疗效果,患者的恢复情况更好,可有效缩短症状改善时间与治疗时间,具有可靠性与安全性,值得临床推广应用。

Compare the clinical efficacy of hysteroscopy surgery and traditional curettage in the treatment of missed miscarriage patients.92 cases of missed abortion patients admitted to Cengong County Maternal and Child Health Hospital from January 2022 to December 2023 were selected as the research subjects.They were randomly divided into an observation group and a control group using a random number table method,with 46 cases in each group.Among them,the control group patients were treated with traditional curettage surgery,while the observation group patients were treated with hysteroscopy surgery.The surgical conditions,menstrual regain,and incidence of complications of the two surgical treatment plans were compared.The results showed that the surgical time,hospitalization time,duration of vaginal bleeding,and menstrual recovery time of the observation group were shorter than those of the control group,and the amount of intraoperative bleeding was less than that of the control group,with statistical significance(P<0.05).The observation group showed significantly better reduction and increase in menstrual flow after the resumption of menstruation compared to the control group,and the difference was statistically significant(P<0.05).The incidence of complications in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).Research has found that using hysteroscopy surgery to treat missed miscarriage has better therapeutic effects,better patient recovery,and can effectively shorten the time for symptom improvement and treatment.It is reliable and safe,and worthy of clinical promotion and application.