| 摘要: |
| 目的探讨一次性直视人流手术系统在流产不全清宫术中的应用价值。方法选择流产不全患者206例，其中115例采用一次性直视人流手术系统清宫（直视手术组），另91例采用双极电切宫腔镜清宫（宫腔镜手术组），比较两组手术持续时间、术中出血量、术中并发症、住院天数、住院费用、术后1周及转月经后复查B超情况。结果直视手术组手术持续时间、住院天数及住院费用均少于宫腔镜手术组，两组比较差异均有统计学意义（均P＜0.05）。两组患者术中出血量比较差异无统计学意义（P＞0.05），且两组术中均未出现并发症，术后1周及转月经后复查B超均无异常。结论应用一次性直视人流手术系统治疗流产不全较宫腔镜具有较多优势，值得临床推广应用。 |
| 关键词: 流产不全 直视人流手术系统 宫腔镜 清宫术 |
| DOI：10.12056/j.issn.1006-2785.2017.39.16.2016-2007 |
| 分类号: |
| 基金项目:浙江省医药卫生科技计划项目（201494954） |
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| Application of one-time direct-vision surgical abortion system in treatment of incomplete abortion |
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JIANG Yi, ZHENG Ying
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Tongde Hospital of Zhejiang Province
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| Abstract: |
| Objective To assess the application of one-time direct-vision surgical abortion system in treatment of incomplete abortion. Methods Tow hundred and six patients with incomplete abortion after surgical abortion and medical abortion were enrolled in the study. In the uterine curettage, one-time direct-vision surgical abortion system was applied in 115 cases, and hysteroscopic bipolar electroresection was applied in 91 cases. The operative time, intraoperative blood loss, intraoperative complications, length of hospital stay, hospital costs, results of ultrasound examination 1 week after operation and after menstruation recovery were compared between two groups. Results The operative time and length of hospital stay were short and the hospital costs were lower in surgical abortion system group than those in hysteroscopy group (all P＜0.05). There were no significant differences in intraoperative blood loss between two groups (P ＞0.05). There were no intraoperative complications in both group and the ultrasounographic examinations were normal in both groups 1 week after operation and after menstruation recovery. Conclusion The application of one-time direct-vision surgical abortion system has advantages over hysteroscopic electroresection in treatment of incomplete abortion. |
| Key words: Incomplete abortion Direct-vision surgical abortion system Hysteroscopy Uterine curettage |
