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目的:在腹部B超下应用气管异物钳取出尾丝断裂节育器,评价临床效果。方法:收集要求取器而节育器尾丝断裂的妇女274例,分为异物钳组和血管钳组两组。分别用腹部超声引导下将成人气管异物钳取环和直接用血管钳取环。观察术时疼痛反应、取器时间和术中出血量。结果:痛觉总评分:异物钳组(2.54±0.19)分,血管钳组(6.98±1.65)分,两组比较差异有极显著性(P<0.01)。取器时间异物钳组为(5.98±1.63)min,止血钳组为(9.80±1.65)min,两组比较差异有极显著性(P<0.01)。出血量:异物钳组为(5.37±2.69)ml,止血钳组为(8.26±3.17)ml,两组比较差异无显著性(P>0.05)。结论:经腹部B超引导下取尾丝断裂环气管异物钳较血管钳具有手术时间短、术时痛苦少的优点。适合在硬件设备好的医院、经济水平相对较高的病人身上应用。
OBJECTIVE: To apply tracheal foreign body forceps to remove the caudal myocutaneous IUD in abdominal ultrasonography to evaluate the clinical effect. Methods: A total of 274 women were selected who needed to take off the device and the incisor tweezers ruptured. They were divided into two groups: foreign body forceps group and vascular forceps group. Respectively with abdominal ultrasound guided adult tracheal foreign body forceps ring and direct use of forceps ring. Observe the pain reaction, take time and intraoperative blood loss. Results: Total pain score: foreign body clamp group (2.54 ± 0.19) points, vascular clamp group (6.98 ± 1.65) points, the difference between the two groups was significant (P <0.01). The time of removing foreign body was (5.98 ± 1.63) min and that of hemostatic forceps was (9.80 ± 1.65) min, the difference between the two groups was significant (P <0.01). The amount of bleeding was (5.37 ± 2.69) ml in the foreign body forceps group and (8.26 ± 3.17) ml in the hemostatic forceps group, there was no significant difference between the two groups (P> 0.05). Conclusion: The transcatheter tibiofemoral foreign body forceps guided by B-ultrasound guided by abdomen has the advantages of shorter operative time and less pain when compared with vascular forceps. Suitable for use in hospitals with good hardware and with relatively high economic levels.