薛莉, 汪邦兰. 直视人流系统对宫腔术后子宫内膜的影响[J]. 蚌埠医学院学报, 2021, 46(8): 1073-1076. DOI: 10.13898/j.cnki.issn.1000-2200.2021.08.021
    引用本文: 薛莉, 汪邦兰. 直视人流系统对宫腔术后子宫内膜的影响[J]. 蚌埠医学院学报, 2021, 46(8): 1073-1076. DOI: 10.13898/j.cnki.issn.1000-2200.2021.08.021
    XUE Li, WANG Bang-lan. Effect of direct visualization induced abortion system on endometrium after intrauterine operation[J]. Journal of Bengbu Medical College, 2021, 46(8): 1073-1076. DOI: 10.13898/j.cnki.issn.1000-2200.2021.08.021
    Citation: XUE Li, WANG Bang-lan. Effect of direct visualization induced abortion system on endometrium after intrauterine operation[J]. Journal of Bengbu Medical College, 2021, 46(8): 1073-1076. DOI: 10.13898/j.cnki.issn.1000-2200.2021.08.021

    直视人流系统对宫腔术后子宫内膜的影响

    Effect of direct visualization induced abortion system on endometrium after intrauterine operation

    • 摘要:
      目的探讨直视人流系统对宫腔术后子宫内膜的影响。
      方法选取初次妊娠B超提示胚胎停止发育的行人工流产者100例,ASA分级Ⅰ级,年龄18~35岁,孕次G1P0,停经时间55~75 d,根据计算机随机生成数字顺序,再以数字的奇偶性随机分为超声引导下人工流产组(B组)和直视人流系统组(V组)2组,各50例。观察2组术后10 d子宫内膜厚度,术中并发症和术后月经恢复情况。
      结果与B组比较,V组子宫内膜厚度更厚,术中出血量少以及术后出血时间缩短,术后月经恢复时间缩短以及月经正常比例更高(P < 0.05~P < 0.01);手术和麻醉时间、人流综合征以及子宫穿孔和宫颈粘连情况2组差异无统计学意义(P>0.05)。
      结论 相对于超声引导下人流术,直视人流系统可保护子宫内膜,术中出血明显减少,术后出血时间明显缩短,月经恢复时间明显缩短以术后子宫内膜更厚及月经量正常比例更高,并且不增加术中及术后并发症的发生。

       

      Abstract:
      ObjectiveTo explore the effects of direct visualization induced abortion system on endometrium after intrauterine operation.
      Methods One hundred induced abortion women with the first pregnancy, embryonic arrest detected by ultrasound, ASA class Ⅰ, age18 to 35 years old, pregnant time G1P0, menopause time 55-75 d, were investigated.According to the sequence of numbers randomly generated by computer and parity of numbers, the cases were divided into the ultrasound-guided induced abortion group(B group) and direct vision abortion system group(group V) (50 cases in each group).The endometrial thickness, operative complications and menstrual cycle recovery after abortion were compared between two groups.
      ResultsCompared with the group B, the deeper endometrial thickness, less intraoperative blood loss, shorter postoperative bleeding time, shorter postoperative menstrual recovery time and higher proportion of normal menstruation in group V were found(P < 0.05 to P < 0.01).The differences of the duration of surgery and anesthesia, abortion syndrome, uterine perforation and cervical adhesions between two groups were not statistically significant(P>0.05).
      ConclusionsCompared with the ultrasound-guided abortion, the direct visualization induced abortion system can protect the endometrium, the intraoperative bleeding significantly reduces, the postoperative bleeding time is significantly shortened, the menstrual recovery time is significantly shortened, the endometrium is thicker after surgery, the proportion of normal menstrual volume is higher, and which does not increase the incidence rates of intraoperative and postoperative complications.

       

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