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目的探讨早孕合并高危因素人工流产术中应用B型超声检查的安全性与可靠性。方法选取因早孕合并高危因素人工流产术患者80例,依据随机数字表法分为B型超声引导下人工流产术组和常规人工流产术组各40例,对两组患者的手术时间、术中出血量、术后出血时间、子宫收缩情况及术中术后并发症发生情况进行统计分析。结果 B型超声组患者的术中出血量显著少于常规手术组,手术时间、术后出血时间均显著短于常规手术组,子宫收缩情况显著长于常规手术组,差异均有统计学意义(P<0.05);B型超声组不全流产、漏吸、子宫穿孔、感染、月经改变、宫腔粘连发生率分别为2.5%、0.0%、0.0%、2.5%、5.0%、2.5%,均显著低于常规手术组的7.5%、2.5%、2.5%、7.5%、12.5%、10.0%,差异均有统计学意义(P<0.05)。结论早孕合并高危因素人工流产术中应用B型超声检查安全可靠。
Objective To investigate the safety and reliability of B-mode ultrasonography in abortion with high-risk factors in early pregnancy. Methods Eighty patients with abortion due to risk factors in early pregnancy were enrolled. According to the random number table, the patients were divided into 40 cases of induced abortion group and 40 cases of conventional induced abortion group according to random number table. The operative time, Bleeding, postoperative bleeding time, uterine contractions and intraoperative and postoperative complications were statistically analyzed. Results The patients with type B ultrasound had significantly less intraoperative blood loss than the conventional surgery group. The operation time and postoperative bleeding time were significantly shorter than those in the conventional operation group. The uterine contractions were significantly longer than those in the conventional operation group (P <0.05). The incidence of incomplete abortion, leak suction, uterine perforation, infection, menstrual changes and intrauterine adhesions in type B ultrasound group were 2.5%, 0.0%, 0.0%, 2.5%, 5.0% and 2.5% The difference was statistically significant (7.5%, 2.5%, 2.5%, 7.5%, 12.5%, 10.0%, respectively) in the conventional operation group (P <0.05). Conclusion Early pregnancy combined with risk factors of induced abortion in the application of B ultrasound is safe and reliable.