宫腔镜联合超声检查诊治妊娠终止后不完全流产疗效分析

目的探讨宫腔镜联合超声检查对妊娠终止后不完全流产的诊断和临床治疗效果。方法随机选取2011年3月至2012年6月单纯B超检查及宫腔镜联合B超检查辅助治疗不完全流产患者50例,分别设为对照组和联合组各25例,评估术前诊断率、术中出血和手术时间及术后并发症发生情况。结果联合组患者手术时间（16.3±6.7）min]、术中出血量（12.3±15.6）mL]和术后感染率4.0%（1/25）]均明显少于对照组（23.3±9.5）min、（51.3±22.7）mL、20.0%（5/25）];同时,联合组术前诊断率100.0%（25/25）]明显高于对照组72.0%（18/25）],术后并发症发生率8.0%（2/25）]明显低于对照组48.0%（12/25）],差异均有统计学意义（P〈0.05）。结论宫腔镜联合超声检查能显著提高不完全流产的诊断准确率和手术安全性,值得临床进一步推广。

Curative analysis of hysteroscopy combined with ultrasonography on incomplete abortion after pregnancy termination

Objective To explore the clinical effect of hysteroscopy combined with ultrasonography on incomplete abor-tion after pregnancy termination. Methods Fifty patients with incomplete abortion,who were diagnosed by merely B ultrasonog-raphy and hysteroscopy combined with B ultrasonography from March 2011 to June 2012 ,were selected randomly and divided into control group and combination group respectively,25 cases in each group. The preoperative diagnostic rate,intraoperative blood loss,operation datum and postoperative complications in both groups were evaluated. Results The operation duration,intraoper-ative blood loss and postoperative infection rate in combination group（16.3＆#177;6.7）min,（12.3＆#177;15.6）mL and 4.0%（1/25）] were all obviously lower than those in the control group（23.3＆#177;9.5）min,（51.3＆#177;22.7）mL and 20.0%（15/25）];meanwhile,the preoperative diagnostic rate in the combination group100.0%（25/25）] was prominently higher than that of the control group72.0%（18/25）],but postoperative incidence rate of complications in the combination group8.0%（2/25）] was apparently lower than that in the control group48.0%（12/25）],and the differences had statistical significance（P〈0.05）. Conclusion Hysteroscopy combined with B ultra-sonography can evidently elevate the diagnostic rate and operation safety,and it is worthy of popularization.