【摘要】 目的:通过分析无痛人流术中引起子宫穿孔的相关危险因素,寻找出相应的干预措施来降低子宫穿孔率。方法:随机选取2015年1月至2016年1月我院进行的无痛人流手术中出现子宫穿孔的患者75例,记录患者子宫穿孔的部位及性质,通过手术前后的临床表现,分析研究有哪些危险性因素可能会导致子宫穿孔。结果:通过数据分析认为,无痛人流术中的子宫穿孔大部分是因为患者宫腔复杂,导致手术难度提高,子宫穿孔的严重程度取决于造成穿孔的原因,如怀孕次数、怀孕周期和手术者技术娴熟度等。患者多次妊娠后子宫壁变薄,手术者如果在手术中操作失误,很容易因手术器械损伤造成子宫穿孔。对这75例子宫穿孔患者采用了米非司酮联合米索前列醇方案处理,通过保守治疗和手术治疗,最终全部治愈,无1例死亡。结论:子宫宫腔复杂等因素容易导致人流手术中子宫穿孔,手术者应对这些人群高度重视,并由经验丰富、技术能力高者主导手术。更多还原

【Abstract】 Objectives:To discuss the risk factors of uterine perforation in painless abortion,to find out the appropriate interventions to reduce the rate of uterine perforation. Methods:75 patients who had uterine perforation in painless abortion were randomly selected from January 2015 to January 2016. The location and nature of uterine perforation was recorded and risk factors were identified through comparing the clinical manifestations between before and after surgery. Results:Uterine perforation was usually caused by unskilled operation,and the severity of uterine perforation depended on the causes,such as:the number of pregnancies,pregnancy period and skills of doctors. After multiple pregnancy experiences,the uterine wall of patients got thinner and small mistakes of surgical instruments would cause uterine perforation. All the 75 patients were cured with conservative treatment and surgical treatment using mifepristone joint misoprostol. Conclusion:Complex uterine structure can easily lead to uterine perforation,which should be paid more attention to in the surgery by highly skilled doctors.更多还原