CAJ | 학술논문

目的：比较手术流产和药物流产对女性性功能、生活质量及再孕时并发症发生率的影响。方法：回顾性分析2010年2月至2012年2月于我院行人工流产手术的240例女性资料，其中120例女性采用手术流产（Ⅰ组），另外120例行药物流产（Ⅱ组），术后随访24个月，随访期内有120名女性再次妊娠并选择娩出，其中66例采取手术流产终止初次妊娠，54例采取药物流产终止初次妊娠，对两种方式流产后女性性功能、生活质量及再孕时并发症发生情况进行分析。结果：所有女性流产均获得成功，Ⅱ组女性性功能评分和生活质量评分显著高于Ⅰ组，差异均具有统计学意义（t＝3.585和4.823；P＝0.007和0.019）；终止妊娠再孕后妊高症、胎盘粘连、产后出血发生率均较Ⅰ组女性显著降低（P＜0.05）。结论：与手术流产相比，药物流产术后女性性功能受影响较小，生活质量更高，再次妊娠时受影响较小，值得临床合理运用。
목적：비교수술유산화약물유산대녀성성공능、생활질량급재잉시병발증발생솔적영향。방법：회고성분석2010년2월지2012년2월우아원행인공유산수술적240례녀성자료，기중120례녀성채용수술유산（Ⅰ조），령외120례행약물유산（Ⅱ조），술후수방24개월，수방기내유120명녀성재차임신병선택면출，기중66례채취수술유산종지초차임신，54례채취약물유산종지초차임신，대량충방식유산후녀성성공능、생활질량급재잉시병발증발생정황진행분석。결과：소유녀성유산균획득성공，Ⅱ조녀성성공능평분화생활질량평분현저고우Ⅰ조，차이균구유통계학의의（t＝3.585화4.823；P＝0.007화0.019）；종지임신재잉후임고증、태반점련、산후출혈발생솔균교Ⅰ조녀성현저강저（P＜0.05）。결론：여수술유산상비，약물유산술후녀성성공능수영향교소，생활질량경고，재차임신시수영향교소，치득림상합리운용。
Objectives:To compare the influence of drug abortion and surgical abortion on sexual function, living quality and complication of pregnancy again.Methods:In this study,240 females received abortion in our hospital from February 2010 to February 2012 were selected and divided into drug abortion group (n=120,groupⅡ)and surgical abortion group (n=120,group Ⅰ).66 females who received surgical abortion got pregnant a-gain,while 54 females in group Ⅱ became pregnant again.The sexual function,living quality and incidence of complication of pregnancy again of females in the two groups were analyzed.Results:All abortion was successful. In group Ⅱ,sexual function score and living quality score increased significantly (t=3.585 and 4.823;P=0.007 and 0.0019).Incidence of gestational hypertension,placenta adherence and postpartum hemorrhage decreased sig-nificantly (P<0.05 ).Conclusion:Compared with surgical abortion,drug abortion has less effect on the sexual function and re-pregnancy of patients,hereby with a higher living quality,which is worthy of clinical application.