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目的探索一种使有剖宫产史的早孕妇女痛苦小、出血少、手术时间短、并发症少,更加安全的终止妊娠的有效方法。方法按门诊编号和入站先后顺序将100例孕妇随机分成两组。两组年龄、孕次、孕周、剖宫产术后行人工流产术时间差异无统计学意义(P>0.05)。观察组50例手术应用一次性宫腔组织吸引管,对照组50例应用常规人工流产手术方法 ;观察术中疼痛、出血量、手术时间、人工流产综合反应发生率、完全流产率等情况。结果观察组和对照组手术无痛及轻痛率、心脑综合反应发生率、术中出血量、手术时间比较差异有统计学意义(P<0.05);两组完全流产率相比较无统计学意义(P>0.05)。结论一次性宫腔组织吸引管用于瘢痕子宫人工流产,受术者疼痛轻微,手术时间短,出血量少,术中、术后并发症少,手术成功率和安全性高,值得推广应用。
Objective To explore an effective method for early pregnant women with history of cesarean section to have less pain, less bleeding, shorter operation time, fewer complications and safer termination of pregnancy. Methods According to the outpatient number and inbound order, 100 pregnant women were randomly divided into two groups. The two groups of age, gestational age, gestational age, cesarean section after abortion time was no significant difference (P> 0.05). Fifty patients in the observation group underwent surgery with a disposable uterine tissue aspiration tube and 50 patients in the control group underwent conventional abortion. The intraoperative pain, the amount of bleeding, the operation time, the incidence of induced abortion, and the complete abortion rate were observed. Results In the observation group and the control group, the painless and mild pain rate, the incidence of cardiocerebrovascular reaction, the amount of bleeding during operation and the operation time were significantly different (P <0.05). There was no significant difference between the two groups in the rate of complete abortion Significance (P> 0.05). CONCLUSION: The disposable uterine tissue suction tube is suitable for the induced abortion of scar uterus. The pain of the affected person is minor, the operation time is short, the amount of bleeding is less, the intraoperative and postoperative complications are less, the success rate and safety of operation are high, which is worth popularizing and applying.