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目的观察宫腔镜在稽留流产清宫术中的应用价值。方法将116例符合病例入选标准的稽留流产患者随机分成观察组和对照组,2组均给予米非司酮及米索前列醇,对照组直接清宫,观察组在宫腔镜下清宫。比较2组流产成功率、手术时间、术中出血量、术后阴道流血时间、住院时间、术后宫腔残留再次清宫例数及发现畸形子宫例数。结果观察组完全流产率100.00%;对照组完全流产率77.59%;不全流产率17.24%,总流产率94.83%。2组完全流产率及总流产率相比差异有统计学意义(P<0.05)。阴道流血量多于月经量者观察组有9例(15.52%),对照组有19例(32.76%),观察组出血量较少,2组相比差异有统计学意义(P<0.05)。手术时间、手术出血量2组相比差异无统计学意义(P>0.05),术后流血时间、妊娠物残留例数、再次清宫例数、子宫畸形例数等2组相比差异有统计学意义(P<0.05)。结论宫腔镜下清宫用于稽留流产有很大的临床价值。
Objective To observe the value of hysteroscopy in abortion curettage. Methods One hundred and sixty-six missed abortion patients were randomly divided into observation group and control group. Both groups were given mifepristone and misoprostol. The control group was directly treated by hysteroscopy and the observation group was treated by hysteroscopy. The success rate of abortion, operation time, intraoperative blood loss, postoperative vaginal bleeding time, hospitalization time, the number of uterine lesions after uterine resection and the number of cases of abnormal uterus were compared. Results The rate of complete abortion in the observation group was 100.00%. In the control group, the rate of complete abortion was 77.59%. The rate of incomplete abortion was 17.24%. The total abortion rate was 94.83%. There were significant differences in total abortion rate and total abortion rate between the two groups (P <0.05). There were 9 cases (15.52%) in the observation group and 19 cases (32.76%) in the control group. There was less bleeding in the observation group and there was significant difference between the two groups (P <0.05). There was no significant difference between the two groups in operation time and operation bleeding volume (P> 0.05), the time of postoperative bleeding, the number of residual cases of pregnancy, the number of cases of recidivism and the number of cases of uterine malformation were statistically different Significance (P <0.05). Conclusions Hysteroscopic removal of abortion for the abortion has great clinical value.