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

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.