492022年第9卷第11期实用妇科内分泌电子杂志•论著•宫腔直视吸引手术系统与B超引导下无痛人流术的有效性对比研究姜涛(泰州妇产医院妇科,江苏泰州225300)【摘要】目的比较B超引导下与宫腔直视吸引手术系统下无痛人流术的临床有效性。方法选取本院妇科收治的需行无痛人流术的患者400例为研究对象,结合其意愿分为两组。对照组224例于B超引导下行无痛人流术,研究组176例于宫腔直视吸引手术系统下行无痛人流术。比较两组的手术时间、术中出血量、宫腔被进入与吸引次数、术后腹痛时间、术后出血时间、月经恢复时间、并发症发生率及二次手术率。结果与对照组相比,研究组的手术时间、术后出血时间、术后腹痛时间及月经恢复时间均更短,术中出血量、宫腔被进入与吸引次数均更少,差异有统计学意义(P<0.05)。研究组的并发症总发生率为1.14%,明显低于对照组4.91%,差异有统计学意义(P<0.05)。对照组的二次手术率为1.79%,研究组无此案例,但两组间比较,差异无统计学意义(P>0.05)。结论相较于B超引导下,宫腔直视吸引手术系统下无痛人流术的有效性更好且安全性更高,更具推广价值。【关键词】宫腔直视吸引手术系统;B超引导;无痛人流术;有效性;安全性ComparativestudyontheeffectivenessofpainlessabortionunderuterinecavitydirectvisionaspirationsystemandtheguidanceofB-ultrasoundJiangTao(DepartmentofGynecology,TaizhouMaternityHospital,Taizhou225300,China)【Abstract】ObjectiveTocomparetheclinicaleffectivenessofpainlessabortionundertheguidanceofB-ultrasoundanduterinecavitydirectvisionaspirationsystem.MethodsAtotalof400patientsneededpainlessabortionadmittedtotheDepartmentofGynecologyofourhospitalwereselectedastheresearchobjectsandweredividedintotwogroupsaccordingtotheirwillingness.Thecontrolgroup(224cases)underwentpainlessabortionundertheguidanceofB-ultrasound,andthestudygroup(176cases)underwentpainlessabortionundertheuterinecavitydirectvisionaspirationsystem.Theoperationtime,intraoperativebloodloss,timesofintrauterineentryandattraction,postoperativeabdominalpaintime,postoperativebleedingtime,menstrualrecoverytime,complicationrateandreoperationratewerecomparedbetweenthetwogroups.ResultsComparedwiththecontrolgroup,theoperationtime,postoperativebleeding...