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目的:探讨宫腔镜对133例子宫内妊娠组织物残留诊治效果。方法:选取2016年1月至2016年12月河源市妇幼保健院确诊的子宫内妊娠组织物残留患者133例,依据治疗方法分为A组63例和B组70例,A组给予常规宫腔镜下刮宫术治疗,B组在此基础上给予米非司酮、电切术等处理,统计分析所有患者术中出血量、手术、术后阴道出血、月经复常时间和并发症发生情况。结果:A组和B组患者宫腔镜检查结果基本相同,差异无统计学意义(P>0.05),B组患者术中出血量、手术、术后阴道出血、月经复常时间明显低于A组,差异具有统计学意义(P<0.05);B组患者并发症发生率明显低于A组,差异具有统计学意义(P<0.05)。结论:宫腔镜是诊治子宫内妊娠组织物残留的一种很有价值的方法,具有直接、准确的特点,宫腔镜下刮宫术联合米非司酮、电切术等处理可有效减少患者手术创伤及并发症发生,有利于患者术后身体恢复。
Objective: To investigate the effect of hysteroscopy on the diagnosis and treatment of 133 cases of intrauterine pregnancy. Methods: From January 2016 to December 2016, 133 males and females with confirmed pregnancy in Heyuan MCH hospital were divided into group A (63 cases) and group B (70 cases). Group A received conventional uterine cavity Under the microscope curettage, B group on the basis of mifepristone, resection and other treatment, statistical analysis of all patients with intraoperative bleeding, surgery, postoperative vaginal bleeding, menstruation, recurrent time and complications. Results: The results of hysteroscopy in group A and group B were basically the same, the difference was not statistically significant (P> 0.05). The amount of blood loss, operation, postoperative vaginal bleeding and menstruation recovery time in group B were significantly lower than those in group A Group, the difference was statistically significant (P <0.05). The incidence of complications in group B was significantly lower than that in group A, the difference was statistically significant (P <0.05). Conclusion: Hysteroscopy is a valuable method for the diagnosis and treatment of uterine pregnancy tissue residue, with direct and accurate features. Hysteroscopic curettage combined with mifepristone and resection can effectively reduce the number of patients Surgical trauma and complications occur, is conducive to the recovery of patients after surgery.