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目的分析剖宫产后疤痕子宫人流手术风险,并探讨相关防范对策。方法选取行人工流产术的疤痕子宫患者50例作为观察组,另选择同期在本院行人工流产术的非疤痕子宫患者50例作为对照组。两组患者均行常规人流手术,统计两组患者人流术中出血量,并比较两组患者术后大出血、子宫穿孔、漏吸、吸宫不全、术后感染、术后阴道不规则出血等不良反应发生情况。结果观察组人流术中出血量为(166.45±40.39)ml,对照组为(123.14±38.56)ml,组间比较差异具有统计学意义(t=5.484,P<0.05)。两组患者均未见子宫穿孔者。观察组患者术后大出血(1/50)、漏吸(2/50)、吸宫不全(2/50)、术后感染(2/50)、术后阴道不规则出血(1/50)发生率均略高于对照组(0/50、1/50、0/50、1/50、0/50),但差异无统计学意义(P>0.05);而观察组患者的不良反应总发生率16.00%显著高于对照组的4.00%,差异具有统计学意义(P<0.05)。结论剖宫产后疤痕子宫人流手术风险增加明显,应做好术前风险评估,并制定有效的防范措施,以降低不良反应风险,保证人流手术患者安全。
Objective To analyze the surgical risk of cesarean scar after uterine cesarean section and to discuss the related countermeasures. Methods Fifty patients with aborted uterus underwent induced abortion were selected as the observation group. Fifty patients with non-aborted uterine uterus who underwent induced abortion during the same period were selected as the control group. Two groups of patients underwent routine abortion, statistics of the two groups of patients with bleeding in abortion, and compared two groups of patients with postoperative bleeding, uterine perforation, leak suction, incomplete suction, postoperative infection, postoperative irregular vaginal bleeding Reaction occurred. Results The bleeding volume in abortion group was (166.45 ± 40.39) ml in control group and (123.14 ± 38.56) ml in control group. The difference between the two groups was statistically significant (t = 5.484, P <0.05). No two groups of patients with uterine perforation. Postoperative bleeding (1/50), leakage (2/50), incomplete aspiration (2/50), postoperative infection (2/50) and postoperative vaginal irregular bleeding (1/50) occurred in the observation group The rates were slightly higher than the control group (0/50, 1/50, 0/50, 1/50, 0/50), but the difference was not statistically significant (P> 0.05); while the adverse reactions in the observation group occurred The rate of 16.00% was significantly higher than that of the control group (4.00%), the difference was statistically significant (P <0.05). Conclusion The risk of scarring and uterine bleeding after cesarean section increase significantly. Preoperative risk assessment should be done and effective preventive measures should be made to reduce the risk of adverse reactions and ensure the safety of abortion patients.