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1、可視B超在鉗刮術(shù)中的應(yīng)用作者:任松,賈愛花,杜占軍,張彥玲,韓雪珍,王志芹【摘要】目的:探討可視B超鉗刮術(shù)較常規(guī)鉗刮術(shù)所具有的優(yōu)點。方法:我院2007年12月~2008年12月收治的48例孕11~14周終止妊娠患者隨機分為兩組,治療組采用可視B超鉗刮術(shù),對照組采用常規(guī)鉗刮術(shù),比較兩組的手術(shù)時間、術(shù)中出血量、宮內(nèi)殘留物及二次清宮情況。結(jié)果:對照組手術(shù)時間[(15.0±2.1)min]明顯長于治療組[(8.0±1.8)min](P<0.05),出血量[(7.9±15.3)mL]明顯多于治療組[(4.0±14.7)mL](P
2、<0.05),對照組24h后復(fù)查B超4例(16.67%)宮內(nèi)有殘留物,并行二次清宮術(shù),治療組24h后復(fù)查B超無1例宮內(nèi)有殘留物,兩組差異有統(tǒng)計學(xué)意義(P<0.05)。結(jié)論:可視B超下鉗刮術(shù)整個手術(shù)過程由盲視操作變?yōu)榭梢暡僮?,較常規(guī)鉗刮術(shù)具有手術(shù)時間短、出血量少、無殘留、避免二次清宮的優(yōu)點,值得臨床推廣?!娟P(guān)鍵詞】可視B超鉗刮術(shù);常規(guī)鉗刮術(shù);療效 [ABSTRACT]Objective:Toinvestigatetheadvantagesofterminationofpregnancyof11~14weeksth
3、rougthforcepscurettageguidedbyvideoBmodesonographyoverconventionalforcepscurettage.Methods:Fortyeigthpregnantwomengoing7toterminatepregnancyof11~14weeksfromDecember2007toDecember2008wererandomizedintotwogroups(groupAandB);pregnantwomenofgroupAwereundergoneterminat
4、ionofpregnancythroughforcepscurettageguidedbyvideoBmodesonography,pregnantwomenofgroupBwereundergoneterminationofpregnancythroughconventionalforcepscurettage.Theoperativetime,bleedingvolume,residualofembryo,andsecondarycurettagewerecomparedbetweenthetwogroups.Resul
5、ts:TheoperativetimeofgroupAandBwere(8.0±1.8)minand(15.0±2.1)minrespectively,andtherewassignificantdifferencebetweenthetwogroups(P<0.05);theamountofbleedingofgroupAandBwere(7.9±15.3)mLand(40±14.7)mLrespectively,andtherewassignificantdifferencebetweenthetwogroups(
6、P<0.05);ontheultrasoundexaminationfollowedupin24h,4cases(16.67%)ofgroupBwerefoundintrauterineresidualofembryo,andtheywereundergonesecondcurettage,noresidualofembryowerefoundingroupA,andtherewassignificantdifferencebetweenthetwogroups(P<0.05).Conclusion:Termin
7、ationofpregnancyof11~14weeksthrougthforcepscurettageguidedbyvideoBmodesonographyhasadvantagesoverconventionalforcepscurettage;becauseofvisualoperation,itbecomesaccurateandreliable,7withshorteroperativetime,lessbleeding,noresidue,andavoidanceofsecondarycurettage. [
8、KEYWORDS]VisualBmodesonographyguidedforcepscurettage;Forcepscurettage;Effect 因避孕失敗所致的非意愿妊娠和某種疾病或胎兒畸形,不宜繼續(xù)妊娠,可采用引流產(chǎn)方法終止妊娠,根據(jù)孕周大小可選用不同終止妊娠的方法[1,2]