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目的:探讨阴道置药辅助超导可视下无痛人工流产术终止早期妊娠的疗效。方法:选取2009年4月～2011年9月孕龄40～60天180例门诊早孕妇女,随机分为A组90例采用超导可视下+丙泊酚静脉全麻人工流产术,B组90例采用术前1 h阴道后穹窿放置米索前列醇0.4 mg然后再行超导可视下无痛人工流产术。观察2组完全流产率、宫口松弛度、宫缩强度、出血量与阴道出血时间。结果:B组宫口松弛发生率明显高于A组,出血量和阴道出血时间明显少于A组,差异均有统计学意义(P<0.05)。结论:超导可视下无痛人工流产术配合阴道置药终止早期妊娠镇痛效果确切,安全可靠。
Objective: To investigate the efficacy of vaginal drug-assisted superconducting visual abortion in abortion termination of early pregnancy. Methods: From April 2009 to September 2011, 180 outpatients with gestational age of 40 to 60 days were selected and randomly divided into group A (n = 90) undergoing artificial abortion under superconducting visualization and propofol intravenous anesthesia. Group B Ninety patients were treated with 0.4 mg misoprostol at vaginal posterior fornix one hour before surgery and underwent superconducting visual ache painless artificial abortion. Two groups were observed complete abortion rate, cervix relaxation, uterine contraction intensity, bleeding volume and vaginal bleeding time. Results: The incidence of cervix relaxation in group B was significantly higher than that in group A, and the bleeding time and vaginal bleeding time were significantly less than those in group A, with statistical significance (P <0.05). Conclusion: The painless artificial abortion under the superconducting visual acuity combined with vaginal drug delivery to terminate early pregnancy analgesic effect is exact, safe and reliable.