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宫腔镜冷刀系统治疗流产后宫腔残留患者的效果

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目的 探讨宫腔镜冷刀系统治疗流产后宫腔残留患者的效果,旨在为临床手术方法的选择提供一定的数据支持。方法 选择2021年1月至2022年12月宝鸡市中心医院妇科收治的82例流产后宫腔残留患者作为研究对象,采用随机数字表法将其分为对照组、观察组,每组41例。对照组接受宫腔镜电刀宫腔残留手术治疗,观察组接受宫腔镜冷刀宫腔残留清除手术治疗。比较两组的手术时间、手术失血量、术后恢复指标、月经量变化情况及术后不良事件发生情况。结果 两组的手术时间、手术失血量比较,差异无统计学意义(P>0。05)。观察组的术后阴道流血时间、月经复潮时间短于对照组,术后月经第14天的子宫内膜厚度大于对照组,差异具有统计学意义(P<0。05)。观察组的月经量较既往减少占比低于对照组,差异具有统计学意义(P<0。05)。观察组的术后不良事件总发生率低于对照组,差异具有统计学意义(P<0。05)。结论 宫腔镜冷刀系统治疗流产后宫腔残留患者有助于更好地探查子宫内病变情况,促进子宫内膜恢复,降低术后不良事件发生风险,值得在临床中应用及推广。
Effect of hysteroscopic cold knife system in the treatment of patients with residual uterine cavity after abortion
Objective To explore the effect of hysteroscopic cold knife system in the treatment of patients with residual uterine cavity after abortion,in order to provide some data support for the selection of clinical surgical methods.Methods A total of 82 patients with residual uterine cavity after abortion admitted in the gynecology department of Baoji Central Hospital from January 2021 to December 2022 were selected as the research objects.The patients were divided into control group and observation group by random number table method,with 41 cases in each group.The control group was treated with hysteroscopic electric knife uterine cavity residual surgery,and the observation group was treated with hysteroscopic cold knife uterine cavity residual removal surgery.The operation time,operation blood loss,postoperative recovery indexes,menstrual volume change and postoperative adverse events were compared between the two groups.Results There were no significant differences in operation time and operation blood loss between the two groups(P>0.05).The postoperative vaginal bleeding time and menstrual recovery time in the observation group were shorter than those in the control group,and the endometrial thickness on the 14 th day after menstruation was larger than that in the control group,and the differences were statistically significant(P<0.05).The proportion of menstrual volume reduction in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).The total incidence of postoperative adverse events in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusion Hysteroscopic cold knife system in the treatment of patients with residual uterine cavity after abortion is helpful to better detect uterine lesions,promote endometrial recovery,and reduce the risk of postoperative adverse events.It is worthy of promotion and application in clinical practice.

hysteroscopic cold knife systemabortionresidual uterine cavity

徐珲、郑建军、杜秀娟、刘阳

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宝鸡市中心医院妇科,陕西宝鸡,721000

宫腔镜冷刀系统 流产 宫腔残留

2024

临床医学研究与实践

临床医学研究与实践

ISSN:
年,卷(期):2024.9(36)