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Abstract To analyze the clinical effects of intrauterine aspiration under direct vision and ultrasound-guided abortion for terminating early pregnancy. Methods: A total of 4920 women who wanted abortion in Guiyang Women's and Children's Health Hospital were selected and were divided into two groups from April 2020 to March 2021. According to the different surgical methods, 1727 women who underwent intrauterine aspiration under direct vision were included in group A, and 3193 women who underwent ultrasound-guided abortion were included in group B. The perioperative indicators and the results after follow-up of the women were compared between the two groups. The clinical effects of the women in the two groups were evaluated. Results: The operation time(4.1±0.6min), the intraoperative blood loss(10.1±2.1ml), the intrauterine entry and exit times(1.1±0.1), the postoperative bleeding time(4.14±1.03d), the menstrual recovery time(27.74±7.32d), the incidence of abnormal menstrual volume(14.5%), the uterine adhesion rate(0.01%), the rate of intrauterine aspiration again(0.41%), and the infection rate(0.06%) of the women in group A were significantly lower than those(5.2±0.8min, 24.6±6.8ml, 2.9±0.3 times, 6.6±1.1d, 31.7±8.4d, 24.1%, 1.47%, 2.94%, and 0.66%) of the women in group B(all P<0.05). Conclusion: Intrauterine aspiration under direct vision for terminating early pregnancy has the advantages of good visual field, short operation time, small trauma, and less postoperative complications, which has exact clinical efficacy.
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