不同負(fù)壓對(duì)不全流產(chǎn)以及子宮內(nèi)膜損傷的影響

《不同負(fù)壓對(duì)不全流產(chǎn)以及子宮內(nèi)膜損傷的影響》由會(huì)員上傳分享，免費(fèi)在線閱讀，更多相關(guān)內(nèi)容在學(xué)術(shù)論文-天天文庫。

1、第43卷第1期第106頁華中科技大學(xué)學(xué)報(bào)(醫(yī)學(xué)版)Vo1．43No．1P．1062014年2月ActaMedUnivSciTeehnolHuazhongFeb．2014不同負(fù)壓對(duì)不全流產(chǎn)以及子宮內(nèi)膜損傷的影響祝鑫瑜。，趙海燕，王莉，段華中國人民武裝警察部隊(duì)北京市總隊(duì)醫(yī)院婦產(chǎn)科醫(yī)務(wù)處，北京100027。首都醫(yī)科大學(xué)附屬北京婦產(chǎn)醫(yī)院婦科微創(chuàng)中心，北京100006摘要：目的通過對(duì)自愿終止妊娠的早孕患者應(yīng)用不同最大負(fù)壓行人工流產(chǎn)術(shù)(人流)的研究，尋求安全有效的措施，以減少對(duì)子宮內(nèi)膜的損傷。方法選擇在武警北京市總隊(duì)醫(yī)院門診因早孕5～7周擬行無痛人

2、流的健康患者877例，胎囊直徑在1．O～2．5cm，隨機(jī)分為3組：組1共288例，負(fù)壓最大500mmHg；組2共291例，負(fù)壓最大450mmHg；組3共298例，負(fù)壓最大400mmHg；3組均由同一長期從事計(jì)劃生育手術(shù)的高年資主治醫(yī)師實(shí)施手術(shù)。術(shù)后觀察：子宮穿孑L、漏吸、術(shù)后感染及羊水栓塞；術(shù)后出血時(shí)間；不全流產(chǎn)率及子宮內(nèi)膜損傷率。結(jié)果3組患者手術(shù)并發(fā)癥情況比較，3組患者均未發(fā)生子宮穿孔、漏吸、術(shù)后感染及羊水栓塞，僅組2中有1例因不全流產(chǎn)行二次刮宮術(shù)。對(duì)可疑內(nèi)膜損傷的患者進(jìn)行宮腔鏡檢查，官腔粘連(IuA)發(fā)生率組1為9．38，組2為4．

3、48，組3為0．67，3組間差異有統(tǒng)計(jì)學(xué)意義(P

4、etalDepartmentofGynecologyandObstetrics，。DepartmentofMedicalAffairs，ChinesePeople’sArmedPoliceForceHospitalofBeijing，Beijing100027，China。CenterofMinimallyInvasiveGynecology，BeijingObstetricsandGynecologyHospital，CapitalMedicalUniversity，Beijing100006，ChinaAbstractObjecti

5、veToevaluatethesafetyandefficacyofdifferentvacuumpressuresinanalgesicsurgicalabortionforhealthyfirst—trimesterwomeninordertoavoidtheendometrialdamageandreducetherateofincompleteabortion．MethodsAtota1of877healthyfirst—trimesterwomenwhounderwentanalgesicsurgicalabortioninC

6、hinesePeople’sArmedPoliceForceHospitalofBeijingwereenrolledinthestudy．Thegestationalagewas5—7weeksandtheembryosacwas1．O一2．5am．Patientswererandomlyassignedintothreegroups：group1，inwhich288womenweretreatedatamaximumpressureof500mmHginanalgesicsurgicalabortion；group2。inwhic

7、h291womenweresubjectedtoanalgesicsurgicalabortionatamaxi—mumpressureof450mmHg；group3，inwhich298womenweretreatedatamaximumpressureof400mmHg．A11theopera—tionswereperformedbythesameexperienceddoctor．Therelatedmeasureswerecomparedamongthegroups：uterineperfora—tion，missedsuct

8、ion，postoperativeinfection，andamnioticfluidembolism，postoperativebleedingtime，incidenceofincompletea—bo