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目的通过超声引导下与宫腔镜引导下行计划生育疑难手术比较,为日后的计划生育疑难手术提供一种更加可靠的检查治疗手段。方法回顾性选择2015年6月-2016年10月天津市职业病防治院收治的70例计划生育疑难手术患者为研究对象,根据检查方式不同分为超声组和宫腔镜组各35例,超声组行超声引导下手术,宫腔镜组行宫腔镜引导下手术,观察手术成功率和术后并发症发生率。结果超声组手术一次性成功27例,成功率为77.1%,宫腔镜组一次性成功者34例,成功率为97.1%,两种检查方式比较,差异具有统计学意义(P<0.05)。且两组术后并发症发生率均为5.7%,差异无统计学意义(P>0.05)。结论在计划生育疑难手术中,采用宫腔镜引导下手术治疗成功率高,可在临床推广使用。
Objective To compare with the guidance of hysteroscopy in guiding the family planning difficult operation under the guidance of ultrasound and provide a more reliable examination and treatment for the future family planning difficult operation. Methods Retrospectively selected 70 cases of difficult cases of family planning treatment in Tianjin Occupational Disease Prevention and Treatment Hospital from June 2015 to October 2016. According to the examination methods, 35 cases were divided into the ultrasound group and the hysteroscopy group, the ultrasound group Under ultrasound-guided surgery, hysteroscopy group underwent hysteroscopy-guided surgery to observe the success rate of surgery and postoperative complications. Results The success rate was 77.1% in one-time operation in ultrasound group and 34 cases in hysteroscopy group with a success rate of 97.1%. The difference between the two methods was statistically significant (P <0.05). The incidence of postoperative complications was 5.7% in both groups, with no significant difference (P> 0.05). Conclusions In the difficult operation of family planning, the success rate of operation under the guidance of hysteroscopy is high and can be popularized in clinic.