现代医药卫生
現代醫藥衛生
현대의약위생
MODERN MEDICINE HEALTH
2014年
21期
3225-3226
,共2页
流产,不全%宫腔镜检查%超声检查%刮宫术
流產,不全%宮腔鏡檢查%超聲檢查%颳宮術
유산,불전%궁강경검사%초성검사%괄궁술
Abortion,incomplete%Hysteroscopes%Ultrasonography%Dilatation and curettage
目的：探讨宫腔镜联合超声检查对妊娠终止后不完全流产的诊断和临床治疗效果。方法随机选取2011年3月至2012年6月单纯B超检查及宫腔镜联合B超检查辅助治疗不完全流产患者50例，分别设为对照组和联合组各25例，评估术前诊断率、术中出血和手术时间及术后并发症发生情况。结果联合组患者手术时间[（16.3±6.7）min]、术中出血量[（12.3±15.6）mL]和术后感染率[4.0%（1/25）]均明显少于对照组[（23.3±9.5）min、（51.3±22.7）mL、20.0%（5/25）]；同时，联合组术前诊断率[100.0%（25/25）]明显高于对照组[72.0%（18/25）]，术后并发症发生率[8.0%（2/25）]明显低于对照组[48.0%（12/25）]，差异均有统计学意义（P<0.05）。结论宫腔镜联合超声检查能显著提高不完全流产的诊断准确率和手术安全性，值得临床进一步推广。
目的：探討宮腔鏡聯閤超聲檢查對妊娠終止後不完全流產的診斷和臨床治療效果。方法隨機選取2011年3月至2012年6月單純B超檢查及宮腔鏡聯閤B超檢查輔助治療不完全流產患者50例，分彆設為對照組和聯閤組各25例，評估術前診斷率、術中齣血和手術時間及術後併髮癥髮生情況。結果聯閤組患者手術時間[（16.3±6.7）min]、術中齣血量[（12.3±15.6）mL]和術後感染率[4.0%（1/25）]均明顯少于對照組[（23.3±9.5）min、（51.3±22.7）mL、20.0%（5/25）]；同時，聯閤組術前診斷率[100.0%（25/25）]明顯高于對照組[72.0%（18/25）]，術後併髮癥髮生率[8.0%（2/25）]明顯低于對照組[48.0%（12/25）]，差異均有統計學意義（P<0.05）。結論宮腔鏡聯閤超聲檢查能顯著提高不完全流產的診斷準確率和手術安全性，值得臨床進一步推廣。
목적：탐토궁강경연합초성검사대임신종지후불완전유산적진단화림상치료효과。방법수궤선취2011년3월지2012년6월단순B초검사급궁강경연합B초검사보조치료불완전유산환자50례，분별설위대조조화연합조각25례，평고술전진단솔、술중출혈화수술시간급술후병발증발생정황。결과연합조환자수술시간[（16.3±6.7）min]、술중출혈량[（12.3±15.6）mL]화술후감염솔[4.0%（1/25）]균명현소우대조조[（23.3±9.5）min、（51.3±22.7）mL、20.0%（5/25）]；동시，연합조술전진단솔[100.0%（25/25）]명현고우대조조[72.0%（18/25）]，술후병발증발생솔[8.0%（2/25）]명현저우대조조[48.0%（12/25）]，차이균유통계학의의（P<0.05）。결론궁강경연합초성검사능현저제고불완전유산적진단준학솔화수술안전성，치득림상진일보추엄。
Objective To explore the clinical effect of hysteroscopy combined with ultrasonography on incomplete abor-tion after pregnancy termination. Methods Fifty patients with incomplete abortion,who were diagnosed by merely B ultrasonog-raphy and hysteroscopy combined with B ultrasonography from March 2011 to June 2012 ,were selected randomly and divided into control group and combination group respectively,25 cases in each group. The preoperative diagnostic rate,intraoperative blood loss,operation datum and postoperative complications in both groups were evaluated. Results The operation duration,intraoper-ative blood loss and postoperative infection rate in combination group[(16.3±6.7)min,(12.3±15.6)mL and 4.0%(1/25)] were all obviously lower than those in the control group[(23.3±9.5)min,(51.3±22.7)mL and 20.0%(15/25)];meanwhile,the preoperative diagnostic rate in the combination group[100.0%(25/25)] was prominently higher than that of the control group[72.0%(18/25)],but postoperative incidence rate of complications in the combination group[8.0%(2/25)] was apparently lower than that in the control group[48.0%(12/25)],and the differences had statistical significance(P<0.05). Conclusion Hysteroscopy combined with B ultra-sonography can evidently elevate the diagnostic rate and operation safety,and it is worthy of popularization.
