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| Application effect of intrauterine aspiration under direct vision and ultrasound-guided intrauterine aspiration in early induced abortion |
| Zhongwu Hospital, Suqian, Jiangsu Province, 223800 |
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Abstract To analyze the application effect of intrauterine aspiration under direct vision and ultrasound-guided intrauterine aspiration in early induced abortion. Methods: From September 2021 to August 2022, 1418 women with early pregnancy who wanted induce abortion in the outpatient department were selected in this study. According to the principle of voluntary selection of the women, these women were divided into two groups, including 788 cases who wanted intrauterine aspiration under direct vision during abortion in group A and 630 cases who wanted ultrasound-guided intrauterine aspiration during abortion in group B. The intraoperative indicators, the postoperative follow-up situation, and the occurrence of surgical complications of the women were compared between the two groups. Results: There was no significant difference in the operation time between the two groups (P>0.05). The intraoperative blood loss (13.5±3.2 ml), the postoperative bleeding time (5.3±1.2d), and the incidence of the decreased menstrual volume (2.4%) of the women in group A were significantly lower than those (18.5±5.1ml, 7.5±1.3d, and 20.8%) of the women in group B. The proportion of intrauterine adhesion (3.4%) of the women in group A was significantly higher than that (0) of the women in group B (P<0.05). There were no significant differences in the postoperative infection rate, the second uterine curettage rate, and the amenorrhea rate of the women between the two groups (all P>0.05). Conclusion: Intrauterine aspiration under direct vision for the early induced abortion of the women has the advantages of less intraoperative and postoperative bleeding, and has the low incidence of the decreased menstrual volume, and which is more intuitive to evaluate the endometrial status and can reduce the endometrial injury of the women, and is conducive to the postoperative recovery of the women.
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