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目的探究阴道B超下可视人工流产(人流)术与传统人流术的疗效与安全性差异。方法 94例拟行人流术患者,随机分为可视人流组和传统人流组,每组47例。分别采用阴道B超下可视人流术和传统人流术式,比较两组患者的手术时间、术中出血量及吸宫不全、子宫穿孔、人流综合征发生情况。结果可视人流组手术时间、术中出血量分别为(3.2±0.5)min、(8.6±3.7)ml,均优于传统人流组的(4.8±0.8)min、(13.5±6.4)ml,差异均具有统计学意义(P<0.05)。可视人流组吸宫不全、子宫穿孔、人流综合征发生率分别为2.13%、0、6.38%,均低于传统人流组的17.02%、14.89%、25.53%,差异均具有统计学意义(P<0.05)。结论与传统人流术式相比,阴道B超下可视人流术具有更高的手术成功率,可以明显缩短手术时间,减少术中出血量,显著降低吸宫不全、子宫穿孔和人流综合征的发生风险,值得推广。
Objective To investigate the efficacy and safety of visual abortion (abortion) combined with traditional abortion under vaginal B ultrasound. Methods Ninety-four patients undergoing artificial abortion were randomly divided into visual flow group and conventional flow group, with 47 patients in each group. Vaginal B ultrasound visual flow and traditional abortion were used to compare the two groups of patients operating time, intraoperative blood loss and incomplete suction, uterine perforation, flow syndrome. Results The visual operation time and intraoperative blood loss were (3.2 ± 0.5) min and (8.6 ± 3.7) ml, respectively, which were significantly better than those in the conventional abortion group (4.8 ± 0.8) min and (13.5 ± 6.4) All were statistically significant (P <0.05). The incidences of aspiration, uterine perforation and flow syndrome in visual flow group were 2.13% and 0.636%, respectively, which were all lower than those of the traditional flow group (17.02%, 14.89% and 25.53%, P < <0.05). Conclusion Compared with the traditional abortion, visual vaginasopus B has a higher success rate of surgery, which can significantly shorten the operation time, reduce the amount of intraoperative bleeding, significantly reduce the incomplete aspiration, uterine perforation and flow syndrome Risk, it is worth promoting.