【摘要】：目的：探討全程超導(dǎo)可視無痛人工流產(chǎn)術(shù)與非可視下無痛人工流產(chǎn)術(shù)的手術(shù)效果有何異同。方法：選擇2011年4～6月就診于新疆醫(yī)科大學(xué)第二附屬醫(yī)院婦產(chǎn)科自愿放棄妊娠行人工流產(chǎn)術(shù)的早孕婦女200例，隨機(jī)分為全程超導(dǎo)可視無痛人工流產(chǎn)術(shù)組100例（觀察組）和非可視下無痛人工流產(chǎn)術(shù)組100例（對(duì)照組）。通過觀察兩組術(shù)中出血量、手術(shù)時(shí)間、術(shù)后陰道流血時(shí)間、術(shù)后月經(jīng)回復(fù)時(shí)間及術(shù)中術(shù)后并發(fā)癥發(fā)生率（人工流產(chǎn)綜合反應(yīng)、漏吸、吸宮不全、宮腔宮頸粘連），比較兩組的手術(shù)質(zhì)量。結(jié)果：（1）觀察組術(shù)中出血量（12.60±8.63）少于對(duì)照組（18.84±16.61），差異有統(tǒng)計(jì)學(xué)意義，P＜0.05；觀察組手術(shù)使用時(shí)間（3.24±0.64）與對(duì)照組手術(shù)使用時(shí)間（3.35±0.83）差異無統(tǒng)計(jì)學(xué)意義，P＞0.05；觀察組宮腔操作時(shí)間（1.36±0.34）少于對(duì)照組宮腔操作時(shí)間（1.55±0.40）差異有統(tǒng)計(jì)學(xué)意義，P＜0.05。（2）觀察組與對(duì)照組術(shù)后陰道流血時(shí)間比較差異無統(tǒng)計(jì)學(xué)意義，P＞0.05。（3）觀察組孕婦術(shù)后月經(jīng)恢復(fù)時(shí)間短于對(duì)照組差異有統(tǒng)計(jì)學(xué)意義，P＜0.05。（4）觀察組與對(duì)照組術(shù)中術(shù)后并發(fā)癥比較差異無統(tǒng)計(jì)學(xué)意義，P＞0.05。結(jié)論：全程超導(dǎo)可視無痛人工流產(chǎn)術(shù)具有操作方便、手術(shù)中出血量少、宮腔內(nèi)操作時(shí)間短、月經(jīng)恢復(fù)快等優(yōu)點(diǎn)，是一種安全的人工流產(chǎn)術(shù)方法，值得臨床推廣使用。
[Abstract]:Objective: to explore the differences and similarities of the operation effect between the whole course superconducting visual painless abortion and the non-visual painless abortion. Methods: from April to June 2011, 200 early pregnant women who had voluntarily given up pregnancy for artificial abortion were selected from the second affiliated Hospital of Xinjiang Medical University, Department of Gynecology and Obstetrics and Gynecology. They were randomly divided into two groups: the observation group (n = 100) and the control group (n = 100). The amount of intraoperative bleeding, the time of operation, the time of postoperative vaginal bleeding, the time of menstrual recovery after operation and the incidence of complications (synthetic reaction of induced abortion, leakage of aspiration, incomplete aspiration of uterus, cervical adhesions in uterine cavity) were observed in the two groups. The quality of operation was compared between the two groups. Results: (1) the amount of intraoperative bleeding in the observation group (12.60 鹵8.63) was significantly lower than that in the control group (18.84 鹵16.61) (P < 0.05). There was no significant difference in the operative time between the observation group (3.24 鹵0.64) and the control group (3.35 鹵0.83) (P > 0.05). The operating time of uterine cavity in the observation group (1.36 鹵0.34) was significantly lower than that in the control group (1.55 鹵0.40). P < 0.05. (2) there was no significant difference in postoperative vaginal bleeding time between the observation group and the control group, P > 0.05. (3) the menstrual recovery time of the observation group was shorter than that of the control group. (4) there was no significant difference in intraoperative and postoperative complications between the observation group and the control group (P > 0.05). Conclusion: superconducting visual painless abortion has the advantages of convenient operation, less bleeding, short intrauterine operation time and quick menstrual recovery. It is a safe method for artificial abortion and is worth popularizing in clinic.
【學(xué)位授予單位】：新疆醫(yī)科大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2012
【分類號(hào)】：R169.42

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