Abstract：Objective To explore the effectiveness and related factors for rotary abortion in patients with artificial abortion.Methods A total of 859 patients with artificial abortion were randomly divided into the rotary group with rotary abortion (n=417) and the suction group with negative pressure suction (n=442) for the operation. General situation, pain, operation time, bleeding volume, operation following-up, operation complication, and related factors of efficiency were assessed.Results The level of pain in the rotary group was significantly better than that in the suction group (P<0.05) and the operation time in the rotary group [(7.2±2.3) min] was significantly longer than that in the suction group [(5.4±2.3) min] (P<0.05). There were no differences between the two group in amount of bleeding, bleeding time after operation, and resumption time of menstruation. The efficiency of rotary abortion was positively related to infection history during pregnancy, excessive uterine bending, the opening of the palace before surgery, and uterine cavity block (r=0.397, 0.194, 0.125, and 0.120, respectively, all Ps<0.05), but negatively related to uterine deviation and operation time (r=-0.172 and -0.284, all Ps<0.05). There were no association between the efficiency of rotary abortion with age, times of previous abortion, times of previous delivery, average diameter gestational sac before operation, uterine position, amount of bleeding in operation, level of pain, bleeding time after operation, and resumption time of menstruation. The efficiency of rotary abortion was high without the related factors and low with the related factors.Conclusion Rotary abortion is effective and safe when used in patients with artificial abortion, and the efficiency of rotary abortion is related to several factors including operation time.
邹艳, 于珍, 侯晓, 张宗璞, 夏翊夫. 旋动式流产术临床使用效果及相关影响因素[J]. 中国生育健康杂志, 2016, 27(3): 211-214.
ZOU Yan, YU Zhen, HOU Xiao, ZHANG Zongpu, XIA Yifu. Effectiveness and related factors for rotary abortion in patients with artificial abortion. Chinese Journal of Reproductive Health, 2016, 27(3): 211-214.
1 李颖,程怡民,黄娜,等.中国人工流产现状及流产后计划生育服务进展.中国妇幼保健,2005,20:243-245. 2 郝天羽.旋动式流产术临床效果研究.中国计划生育学杂志,2002,10:56-59. 3 乐杰.妇产科学.第7版. 北京:人民卫生出版社,2008:108. 4 王淑贞.实用妇产科学.北京:人民卫生出版社,1994:966-972. 5 李桂华.利维爱联合宫术宁胶棒用于绝经后妇女取器的临床观察.河北医学,2012,18:1779-1781. 6 Wing DA,Paul RH.A randomized comparison of oral and intravaginal misoprostol for labor induction.Obstet Gynecol,2009,95:905-908. 7 Tang OS,Miao BY,Lee SW,et al.Pilot study on the use of repeated doses of sublingual misoprostol for the termination of pregnancy up to 12 weeks gestation:Efficacy and addeptability.Hum Reprod,2002,17:654-658. 8 王卓然,牛鸿光,刘荣周. 人工流产吸引术时宫腔压力及新型减压式吸管的研制与应用.中华中西医杂志,2007,8:76-79. 9 吴尚纯,邱红燕.中国人工流产的现状与对策建议.中国医学科学院学报,2010,32:479-482. 10 王雪燕,李静,翁春仙.人工流产术后口服短效避孕药的临床疗效观察. 中国妇幼保健,2014,39:2764-2765.
