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目的:比较超导可视无痛人工流产术与传统无痛人工流产手术的临床效果。方法:检索PubMed、EMbase、Web of Science、Cochrane Library、中国知网(CNKI)、中国生物医学文献数据库(CBM)、万方数据库(WANFANG DATA)、维普数据库(VIP),收集超导可视无痛人工流产手术临床效果及安全性的比较研究,为了减少研究间的异质性而选取近10年的研究,检索时限为2016年1-6月,采用RevMan 5.3软件进行meta分析。结果:最终纳入21篇文献,共14 482例患者。meta分析提示:超导可视无痛人工流产术的手术时间短于传统手术(P<0.001),术中出血量明显少于传统手术,合并值相差4.7ml(P<0.001),吸宫不全、子宫穿孔和漏吸等术中并发症的发生率均低于传统术式,人工流产综合征的发生率低于传统手术(P<0.001),月经复潮时间早于传统手术(P<0.001)。结论:超导可视无痛人工流产在临床上的优越性显著,改变了长期以来盲视状态下的手术操作,提高了医疗质量,值得推广应用。
OBJECTIVE: To compare the clinical efficacy of superconducting visual painless abortion with traditional painless abortion. Methods: We searched PubMed, EMbase, Web of Science, Cochrane Library, CNKI, CBM, WANFANG DATA, VIP database, To compare the clinical efficacy and safety of pain-induced abortion, and to select the nearly 10-year study in order to reduce the heterogeneity between studies, the search period was from January to June in 2016, and the meta-analysis was performed by RevMan 5.3 software. Results: 21 articles were finally included for a total of 14 482 patients. The meta-analysis indicated that the operative time of the superconducting visual painless abortion was shorter than that of the conventional surgery (P <0.001), the amount of bleeding during operation was significantly less than that of the conventional surgery, with the difference of 4.7ml (P <0.001) , Uterine perforation and leakage of complications such as the incidence of complications were lower than the traditional surgical procedures, the incidence of induced abortion syndrome was lower than the traditional surgery (P <0.001), menstruation re-tidal time earlier than conventional surgery (P <0.001 ). Conclusion: The clinical superiority of visual ache induced abortion is remarkable, which has changed the long-term operation of blindness and improved the medical quality, which deserved to be popularized and applied.