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目的探讨宫腔镜在稽留流产清宫术中应用的价值。方法选择2007年8月—2010年8月因稽留流产在我院行宫腔镜清宫术80例(观察组),与同期稽留流产常规清宫术86例(对照组)比较。结果观察组妊娠物残留发生少,术后流血时间短,子宫内膜创伤小,差异有统计学意义(P<0.05)。同时宫腔镜下发现宫腔粘连、子宫纵隔、双角子宫畸形、粘膜下子宫肌瘤等宫腔因素流产,而手术时间、术后感染的发生率差异无统计学意义(P>0.05)。所有病例无一例发生大于500 ml的阴道流血、子宫穿孔、水中毒、羊水栓塞、空气栓塞等严重并发症。结论稽留流产宫腔镜清宫术能有效减少妊娠物残留、降低多次清宫的创伤、缩短术后流血时间、减少子宫内膜创伤。并可发现宫腔粘连、子宫畸形、粘膜下肌瘤等流产原因。
Objective To explore the value of hysteroscopy in abortion curettage. Methods August 2007 - August 2010 due to missed abortion in our hospital hysteroscopic curettage in 80 cases (observation group), with the same period of abortion routine curettage 86 cases (control group) compared. Results The observation group had less residual pregnancy, shorter bleeding time and less endometrial trauma, the difference was statistically significant (P <0.05). At the same time, intrauterine adhesions, uterine mediastinum, double angle uterine malformation, submucosal uterine fibroids and other uterine cavity factors were found to be aborted. There was no significant difference in operative time and incidence of postoperative infection (P> 0.05). In none of the cases, vaginal bleeding greater than 500 ml, uterine perforation, water poisoning, amniotic fluid embolism, air embolism and other serious complications occurred. Conclusion Hysteroscopic hysteroscopic abortion can effectively reduce the residual pregnancy, reduce trauma Qing times, shorten the postoperative bleeding time, reduce endometrial trauma. And intrauterine adhesions can be found, uterine malformations, submucosal fibroids and other abortion causes.