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目的:探讨内窥式负压吸宫术在非高危人群中的临床应用价值。方法:选择2010年1月～2011年9月自愿选择内窥式负压吸宫术的早孕妇女300例(可视人流组),选取同期要求实施传统负压吸宫术的非高危人流者300例(传统人流组),分析两组产妇的术中疼痛、术中出血、术后出血天数、并发症及手术满意度情况。结果:①可视人流组术中疼痛明显轻于传统人流组(P<0.05);②两组术中出血量比较差异无统计学意义(P<0.05),但可视人流组术后出血天数明显少于传统人流组(P>0.05);③两组无子宫穿孔发生,两组人流综合征、人流不全、宫腔感染、宫颈粘连及月经失调比较差异无统计学意义(P>0.05)。④可视人流组手术满意度明显好于传统人流组(P<0.05)。结论:内窥式负压吸宫术值得在临床推广应用。
Objective: To investigate the clinical value of endoscopic vacuum aspiration in non-high risk population. Methods: From January 2010 to September 2011, 300 pregnant women (visual flow group) who voluntarily chose endoscopic vacuum aspiration were enrolled in this study. The non-high risk migrants 300 Cases (traditional abortion group), analysis of two groups of maternal intraoperative pain, bleeding, postoperative bleeding days, complications and surgical satisfaction. Results: (1) The visual acuity of the artificial abortion group was significantly lower than that of the traditional abortion group (P <0.05); ② The intraoperative bleeding volume was not significantly different between the two groups (P <0.05) (P> 0.05). ③ There was no uterine perforation in the two groups. There was no significant difference between the two groups in terms of flow syndrome, incomplete flow of people, intrauterine infection, cervical adhesion and menstrual disorders (P> 0.05). ④ The visual satisfaction of the surgical operation was significantly better than that of the traditional surgical operation (P <0.05). Conclusion: Endoscopic negative pressure suction hysterectomy is worthy of clinical application.