标题:超导可视无痛人工流产的临床疗效及术后宫腔黏连的危险因素
作者:高飞艳,张逢香,单玉珍,刘明晖 西安航天总医院妇科,陕西 西安 710100
卷次:
2020年31卷1期
【摘要】 目的 观察超导可视无痛人工流产的临床疗效,并探讨其术后宫腔黏连的危险因素。方法 回顾性选取2017年2月至2019年2月在西安航天总医院妇科行人流术的284例女性作为研究对象,根据入试者人流手术方式分为两组,超导可视普通人流组174例,超导可视无痛人流组110例;比较两种术式手术指标和并发症,分析宫腔黏连组与未黏连组患者的临床资料,危险因子行二元Logistic回归分析。结果 可视普通人流组与可视无痛人流组患者的手术指标和并发症发生率比较差异均无统计学意义(P>0.05);黏连组患者孕次、吸宫负压、吸宫时间以及宫腔操作次数分别为(3.50±0.50)次、(565.50±15.50) mmHg、(4.21±0.54) min、(2.50±0.50)次,均明显高于未黏连组的(1.50±0.50)次、(479.50±19.50) mmHg、(3.50±0.50) min、(1.50±0.50)次,盆腔炎发生率为 82.35%,明显高于未黏连组的29.6%,差异均具有统计学意义(P<0.05);Logistic回归分析结果显示,孕次、吸宫负压、吸宫时间、宫腔操作次数及盆腔炎均为术后宫腔黏连的危险因素(P<0.05)。结论 在可视操作下,无痛人流术与普通人流术临床效果及安全性相当;人工流产术后宫腔黏连的危险因素包括孕次、吸宫负压、吸宫时间、宫腔操作次数及盆腔炎等,手术时应严谨操作,以减少术后宫腔黏连发生风险。
【关键词】 超导可视;人工流产;术式效果;宫腔黏连;危险因素;Logistic回归分析
【中图分类号】 R169.42 【文献标识码】 A 【文章编号】 1003—6350(2020)01—0059—03
Clinical effect of superconducting visual painless induced abortion and analysis of risk factors for postoperativeintrauterine adhesions.
GAO Fei-yan, ZHANG Feng-xiang, SHAN Yu-zhen, LIU Ming-hui. Department of Gynaecology,Xi'an Aerospace General Hospital, Xi'an 710100, Shaanxi, CHINA
【Abstract】 Objective To observe the clinical effect of superconducting visual painless induced abortion and toexplore the risk factors of postoperative intrauterine adhesions. Methods A total of 284 women were retrospectively se-lected as the research subjects, who underwent induced abortion in the Department of Gynaecology at Xi'an AerospaceGeneral Hospital from February 2017 to February 2019. According to the method of surgical abortion, they were dividedinto two groups: 174 cases in the superconducting visual ordinary abortion group and 110 cases in the superconductingvisible painless abortion group. The operating indexes and complication rate were compared between the two surgicalmethods, then the clinical data were analyzed in the intrauterine adhesion group and the non-adhesion group, and the bi-nary logistic regression analysis was performed on the risk factors. Results There was no significant difference in theoperating indexes and complication rate between the visible ordinary abortion group and the visual painless abortiongroup (P>0.05). The operating indexes and complication rate were significantly higher in the adhesion group than inthe non-adhesive group, such as the number of pregnancy: (3.50±0.50) times vs (1.50±0.50) times; the negative pressurefor abortion suction: (565.50±15.50) mmHg vs (479.50±19.50) mmHg; the time to uterine suction: (4.21±0.54) min vs(3.50±0.50) min; the number of operation times in the uterine cavity: (2.50±0.50) times vs (1.50±0.50) times; and theincidence of pelvic inflammatory disease: 82.35% vs 29.6%; all differences were statistically significant (P<0.05). Lo-gistic regression analysis showed that pregnancy times, negative pressure for abortion suction, suction time, number ofoperation in the uterine cavity, and pelvic inflammatory disease were all risk factors for postoperative uterine adhe-sions (all P<0.05). Conclusion Under visual operation, the clinical effect and safety of painless abortion are compara-ble to ordinary abortion. Risk factors for uterine adhesion after induced abortion include number of pregnancy, negativepressure for abortion suction, time for uterine suction, number of uterine operation, and pelvic inflammation disease.Strict operation should be performed during surgery to reduce the risk of postoperative intrauterine adhesions.
【Key words】 Superconducting visual; Induced abortion; Operative effect; Intrauterine adhesions; Risk factors;Logistic regression analysis
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