宫腔镜动力切割冷刀系统终止早期妊娠的临床应用

Clinical application of hysteroscopic motive cold-knife system in termination of early pregnancy

摘要:

目的 探讨宫腔镜动力切割冷刀系统行早孕孕囊切除的可行性及在保护患者生育力方面的价值。方法 选取2020年12月至2021年12月在贵黔国际总医院因早孕要求终止妊娠的83例患者为研究对象，按照患者意愿分别行宫腔镜冷刀孕囊切除术（实验组，n=41）和超声引导下电吸人流术（对照组，n=42），统计2组患者的手术时间、术后残留、术后出血和腹痛时间、术后β-人绒毛膜促性腺激素（human chorionic gonadotropin，hCG）下降情况及术后宫腔粘连发生率。结果 2组患者均未发生严重并发症，2组术后β-hCG下降幅度一致，实验组患者手术时间、术后出血及疼痛时间较对照组长；实验组无术后宫腔粘连病例，而对照组有4例。结论 宫腔镜冷刀系统应用于终止早期妊娠中安全可行，能良好地保护患者再生育能力。

Abstract:

Objective To investigate the feasibility of hysteroscopic motive cold-knife system for gestational sac removal in early pregnancy and its value in protecting the fertility of patients.Methods A total of 83 patients who requested termination of early pregnancy in Guiqian International General Hospital from December 2020 to December 2021 were selected as the research objects. According to the wishes of the patients，hysteroscopic cold knife gestational sac resection（41 cases in the experimental group） and ultrasound-guided induced abortion（42 cases in the control group） were performed respectively. The operation time，postoperative residual rate， the time of postoperative bleeding and abdominal pain，postoperative β-human chorionic gonadotropin（hCG） decline，and postoperative incidence of intrauterine adhesions were recorded.Results There were no serious complications in the two groups. The β-hCG values decreased in the same range in the two groups. The operation time，the time of postoperative bleeding and pain in the experimental group were longer than those in the control group. There were no cases of postoperative intrauterine adhesion in the experimental group，while there were 4 cases in the control group.Conclusion The hysteroscopic motive cold-knife system is safe and feasible in the termination of early pregnancy，and it can well protect the fertility of patients.