宫腔镜与直视人工流产手术系统治疗宫内胚物残留的临床效果比较OA
Comparison of the clinical effect of hysteroscopy and direct vision artificial abortion surgery system in the treatment of intrauterine embryo residue
目的 比较宫腔镜与直视人工流产手术系统治疗宫内胚物残留的临床效果.方法 回顾性分析2016 年1月至 2022 年 8 月浙江省立同德医院收治的 80 例药物流产后宫内胚物残留患者的临床资料,根据手术方法的不同分为两组,每组 40 例,观察组行宫腔镜手术,对照组采用直视人工流产手术系统清宫术,比较两组临床效果.结果 观察组术后胚物残留率低于对照组,差异有统计学意义(P<0.05);观察组手术时间长于对照组,差异有统计学意义(P<0.05);两组术中出血量和二次手术发生率比较,差异无统计学意义(P>0.05);两组均未发生并发症.结论 宫腔镜治疗宫内胚物残留能够降低术后胚物残留率,但手术时间较直视人工流产手术系统长.
Objective To compare the clinical effect of hysteroscopy and direct vision artificial abortion surgery system in the treatment of intrauterine embryo residue.Methods The clinical data of 80 patients with intrauterine embryo residue after medical abortion admitted to Tongde Hospital of Zhejiang Province from January 2016 to August 2022 were retrospectively analyzed.According to the different surgical methods,they were divided into two groups,40 cases in each group.The observation group received hysteroscopic surgery,and the control group received direct vision artificial abortion surgery system to evacuation of uterus.The clinical effects of the two groups were compared.Results The residual rate of embryo after operation in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).The operation time of observation group was longer than that of control group,and the difference was statistically significant(P<0.05).There were no significant differences in intraoperative blood loss and incidence of secondary operation between the two groups(P>0.05).No complications occurred in the two groups.Conclusion Hysteroscopic treatment of intrauterine embryo residue can reduce the rate of postoperative embryo residue,but the operation time is longer than that of direct vision artificial abortion surgery system.
朱玲玲;吕雯;颜圆圆
浙江省台州市椒江区妇幼保健院妇科,浙江 台州 318000浙江省立同德医院妇科,浙江 杭州 310012台州职业技术学院,浙江 台州 318000
医药卫生
宫腔镜宫内胚物残留直视人工流产手术系统清宫术
HysteroscopyIntrauterine embryo residueDirect vision artificial abortion surgery systemEvacuation of uterus
《妇儿健康导刊》 2026 (3)
25-28,4
浙江省台州市椒江区科技计划项目(233025).
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