摘要
目的 探讨经腹超声监护在无痛人工流产术中的临床应用价值,以达到无痛、预防子宫穿孔、防止漏吸及胎物残留二次清宫的目的.方法 选取2017年1月至2019年9月行人工流产术(包括稽留流产、药物流产后清宫)孕妇1000例作为研究对象,静脉麻醉至患者于完全睡眠状态,术前超声全面观察子宫妊娠囊位置及大小,术中指引术者器械方向,预防穿孔,多方位扫查有无胎物残留,观察手术效果、不良反应发生情况,术后近期并发症(如阴道出血时间长短、月经出血量改变、子宫颈管或子宫宫腔粘连等)的差异.结果 超声监护下无痛人工流产术,本组全部患者均手术顺利,监护成功率为100%,无子宫穿孔、不全流产等并发症发生.结论 超声引导下静脉无痛人流术具有手术时间短,吸宫不全等术中并发症发生率低等优点,无漏吸现象,能避免过度吸刮引起子宫内膜基底部损伤,减少了不必要的脏器损伤,超声引导下无痛人工流产术可有效缓解患者痛苦,将术中、术后并发症降到最低,从而减少医疗纠纷的发生.
Objective To explore the clinical application value of transabdominal ultrasound monitoring in painless induced abortion,so as to achieve the goal of painless,prevention of uterine perforation,prevention of leakage and inhalation,and secondary uterine clearance of fetal residues.Methods 1000 pregnant women undergoing induced abortion(including missed abortion and clearance of uterus after drug abortion)from January 2017 to September 2019 were selected as study subjects.Before intravenous anesthesia,the position and size of uterine pregnancy sac were observed by preoperative ultrasonography,the direction of instruments was guided during the operation,the residual fetus was prevented during multiple scanning of perforation.The effect of operation and adverse reactions and short-term complications(such as length of vaginal bleeding,changes in menstrual bleeding volume,cervical canal or uterine cavity adhesion,etc.)were observed.Results All patients underwent painless induced abortion under ultrasound monitoring.The success rate of monitoring was 100%.There were no complications such as uterine perforation and incomplete abortion.Conclusion Ultrasound-guided intravenous painless induced abortion has the advantages of short operation time,low incidence of intraoperative complications such as incomplete uterine aspiration,no leakage,avoiding the damage of endometrial basement caused by excessive curettage,reducing unnecessary organ damage.Ultrasound-guided painless induced abortion can effectively alleviate the pain of patients.The complications of middle and post-operation were reduced to the lowest level,so as to reduce the occurrence of medical disputes.
作者
郝丽丽
林惠贞
袁幸幸
Hao Lili;Lin Huizhen;Yuan Xingxing(Department of Ultrasonography,Renming Hospital of Shenzhen City,Shenzhen,Guangdong,518172,China)
出处
《当代医学》
2020年第20期81-83,共3页
Contemporary Medicine
关键词
超声监护
人工流产
无痛人工流产术
Ultrasound monitoring
Induced abortion
Painless induced abortion
