摘要
目的:研究宫腔镜B超联合监护在人工终止早孕合并瘢痕子宫的临床应用价值。方法:收治自愿采用人流终止妊娠的早孕合并瘢痕子宫患者400例,分为两组,试验组200例,采用宫腔镜B超联合监护下人流术;对照组200例,采用B超监护下人流术。比较两组手术时间、流产情况、术中出血量、术后出血天数及手术并发症等方面的差异。结果:两组手术时间比较、完全流产率比较差异无统计学意义,两组术中出血量差异有统计学意义,而术后出血天数比较差异无统计学意义。但试验组人流术均获成功,除外数例术前诊断为瘢痕妊娠及宫角妊娠者,术后随访无水中毒、感染等并发症,而对照组不能及时发现人流特殊危险因素导致手术并发症10余例。结论:宫腔镜B超联合监护下人流术是一种安全有效的手术方法,同时可以排除人流特殊危险因素,最大限度减少术中及术后并发症。
Objective:To study hysteroscopy B-joint custody in artificial termination of pregnancy uterine scar combined clinical value.Methods:400 cases of outpatient voluntary termination of pregnancy using abortion uterine scar pregnancy combined patients were divided into two groups:the experimental group 200 cases,the use of joint custody hysteroscopic B-abortion;200 cases in the control group,using the lower B-abortion care surgery.Differences were compared operative time,abortion cases,blood loss,postoperative bleeding complications a few days and so on.Results:The two groups showed no significant difference in operative time,there was no significant difference in complete abortion rate,two blood loss,there was significant difference,but there was no significant difference in the number of bleeding days.However,the experimental group were successful abortion, except a few cases of preoperative diagnosis of scar pregnancy and uterine horn pregnancy,postoperative follow-up water intoxication,infection and other complications,while the control group can not be found in the special risk factors for abortion complications ten cases.Conclusions:hysteroscopic B-joint custody abortion is a safe and effective surgical method,and can exclude abortion special risk factors,minimize intraoperative and postoperative complications,worthy of promotion.
