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目的探讨宫腔镜在不全流产的有效性及安全性。方法对2010年1至12月50例不全流产的患者作为研究组用宫腔镜诊治,并与2009年采用常规清宫术治疗的50例病例资料作对照组进行对比,观察两组术后残留物清除效果,阴道出血情况,月经恢复情况。结果研究组50例不全流产患者中一次性取净宫内妊娠残留物,无1例发生子宫穿孔等并发症。对照组术后妊娠物残留3例,两组疗效比较差异有非常显著性(P<0.01)。结论宫腔镜用于不全流产的诊治是安全有效的,是首选的治疗方法。
Objective To investigate the effectiveness and safety of hysteroscopy in incomplete abortion. Methods 50 cases of incomplete abortion from January 2010 to December 2010 were treated by hysteroscopy and compared with 50 cases treated by routine curettage in 2009 as control group. The residuals of two groups were observed Clear effect, vaginal bleeding, menstrual recovery. Results 50 cases of incomplete abortion in study group to take a one-time removal of intrauterine pregnancy residue, no one case of uterine perforation and other complications. The control group 3 cases of postoperative residual pregnancy, the difference between the two groups were significantly different (P <0.01). Conclusion hysteroscopy for incomplete diagnosis and treatment of abortion is safe and effective, is the preferred method of treatment.