中华医学杂志
中華醫學雜誌
중화의학잡지
National Medical Journal of China
2012年
1期
12-14
,共3页
康俭%王雪芬%张励%刘建华
康儉%王雪芬%張勵%劉建華
강검%왕설분%장려%류건화
早早孕%人工流产术%并发症
早早孕%人工流產術%併髮癥
조조잉%인공유산술%병발증
Early-early pregnancy%Induced-abortion%Complications
目的 探讨早早孕吸宫止孕术的优越性和临床应用价值.方法 对1993至2003年上海交通大学医学院附属第九人民医院完成的10 404例早早孕吸宫术作回顾性分析,取同期9434例普通人工流产(以下简称人流)组,比较两组出血量、手术时间及吸宫不全的发生率、受术者疼痛反应程度及人流综合征发生率.术后随访月经改变及发生宫腔粘连的情况.结果 两组平均年龄、已育妇女比例及首次妊娠人工流产的比例差异均无统计学意义(均P ＞0.05).早早孕吸宫术出血量(4.9±3.2)ml,手术时间(90±12)s,均少于普通人流组[(9.5±6.3)ml,(121 +22)s],均P＜0.05.术中疼痛的程度及人流综合征的发生率、月经改变及宫腔粘连的发生率显著低于普通人流组(均P＜0.05),而吸宫不全的发生率(0.44％)高于普通人流组(0.21％,P＜0.05).结论 早早孕吸宫术具有出血少的优点,且因不需扩张宫颈、手术时间短,受术者痛苦小、恢复快,术后并发症少,但不全流产率较高.
目的 探討早早孕吸宮止孕術的優越性和臨床應用價值.方法 對1993至2003年上海交通大學醫學院附屬第九人民醫院完成的10 404例早早孕吸宮術作迴顧性分析,取同期9434例普通人工流產(以下簡稱人流)組,比較兩組齣血量、手術時間及吸宮不全的髮生率、受術者疼痛反應程度及人流綜閤徵髮生率.術後隨訪月經改變及髮生宮腔粘連的情況.結果 兩組平均年齡、已育婦女比例及首次妊娠人工流產的比例差異均無統計學意義(均P ＞0.05).早早孕吸宮術齣血量(4.9±3.2)ml,手術時間(90±12)s,均少于普通人流組[(9.5±6.3)ml,(121 +22)s],均P＜0.05.術中疼痛的程度及人流綜閤徵的髮生率、月經改變及宮腔粘連的髮生率顯著低于普通人流組(均P＜0.05),而吸宮不全的髮生率(0.44％)高于普通人流組(0.21％,P＜0.05).結論 早早孕吸宮術具有齣血少的優點,且因不需擴張宮頸、手術時間短,受術者痛苦小、恢複快,術後併髮癥少,但不全流產率較高.
목적 탐토조조잉흡궁지잉술적우월성화림상응용개치.방법 대1993지2003년상해교통대학의학원부속제구인민의원완성적10 404례조조잉흡궁술작회고성분석,취동기9434례보통인공유산(이하간칭인류)조,비교량조출혈량、수술시간급흡궁불전적발생솔、수술자동통반응정도급인류종합정발생솔.술후수방월경개변급발생궁강점련적정황.결과 량조평균년령、이육부녀비례급수차임신인공유산적비례차이균무통계학의의(균P ＞0.05).조조잉흡궁술출혈량(4.9±3.2)ml,수술시간(90±12)s,균소우보통인류조[(9.5±6.3)ml,(121 +22)s],균P＜0.05.술중동통적정도급인류종합정적발생솔、월경개변급궁강점련적발생솔현저저우보통인류조(균P＜0.05),이흡궁불전적발생솔(0.44％)고우보통인류조(0.21％,P＜0.05).결론 조조잉흡궁술구유출혈소적우점,차인불수확장궁경、수술시간단,수술자통고소、회복쾌,술후병발증소,단불전유산솔교고.
Objective To evaluate the advantages and disadvantages of early-early pregnancy induced abortion (EPIA).Methods A total of 10 404 cases of EPIA performed at our hospital from January 1993 to December 2003 were retrospectively analyzed and compared with 9434 cases of common induced abortion (CIA).The amount of hemorrhage and operative duration,degree of pain,rate of inducedabortion syndrome,rate of incomplete abortion,menstrual changes and post-operative onset of Asherman's syndrome were observed and compared between 2 groups.Results The average age,ratio of parous cases,ratio of the cases of first-pregnancy induced abortion were not different between 2 groups ( P ＞ 0.05 ).The amount of hemorrhage bleeding ( (4.9 ±3.2) ml),operative duration ( (90 ± 12) s),degree of pain,rate of induced-abortion syndrome,menstrual changes and the rate of Asherman's syndrome in the EPIA group were all significantly less than those in the CIA group (P ＜ 0.05).However,the rate of incomplete abortion (0.44％ ) in the EPIA group was significantly higher than that (0.21％) in the CIA group ( P ＜ 0.05 ).Conclusion EPIA has the advantages of lesser hemorrhage,less pain,shorter operative duration and fewer complications over CIA.Therefore the recovery of EPIA cases is earlier than that of CIA cases.While the risk of incomplete abortion stays high.
