2020 年第 1 期 第 15 卷

人工流产术后盆底电生理治疗对子宫内膜恢复的影响

Effect of pelvic floor electrophysiological therapy on endometrial recovery after induced abortion

作者：梁培琴卢军汪万君

英文作者：

单位：南方医科大学第三附属医院妇产科,广州510660

英文单位：

关键词：人工流产术；盆底电生理；月经；子宫内膜；宫腔粘连

英文关键词：

• 摘要：

• 【摘要】目的    探讨盆底电生理治疗应用于人工流产术后的效果。方法    选取2018年1—10月在南方医科大学第三附属医院进行治疗的100例人工流产手术患者，完全随机分为对照组与观察组，各50例。对照组患者于术后给予常规药物治疗；观察组患者于对照组基础上实施盆底电生理治疗。记录2组患者术后阴道流血时间和流血量、术后再次清宫率，术后2及4周时采用超声检查子宫内膜厚度，记录术后盆腔炎性疾病发生率和月经复潮时间，记录术后1、3、6个月宫腔粘连发生率。结果    观察组术后阴道流血量明显少于对照组［（49±8）ml比（93±13）ml］，阴道流血时间明显短于对照组［（5.1±2.6）d比（6.5±3.4）d］，术后2、4周时子宫内膜厚度明显大于对照组［（2.1±0.8）mm比（1.7±0.7）mm、（9.2±1.2）mm比（8.5±1.3）mm］，术后月经复潮时间明显短于对照组［(32±4)d比(34±4)d］，差异均有统计学意义（均P＜0.05）。2组术后清宫率、盆底炎性疾病发生率、术后1、3、6个月宫腔粘连发生率差异均无统计学意义（均P＞0.05）。结论    人工流产术后给予盆底电生理治疗有助于减少患者阴道流血量和流血时间，有利于促进子宫内膜修复，促使患者月经复潮，同时还可减少术后并发症。

• 【Abstract】Objective    To investigate the effect of pelvic floor electrophysiological therapy on patients with induced abortion. Methods    One hundred patients undergoing induced abortion from January to October 2018 in the Third Affiliated Hospital of Southern Medical University were randomly divided into control group and observation group, with 50 cases in each group. After operation, the control group had routine drug treatment while the observation group was treated with pelvic floor electrophysiological therapy on the basis of routine treatment. Postoperative vaginal bleeding time and volume, postoperative uterine re-clearance rate, endometrial thickness measured by ultrasonography at 2 and 4 weeks after operation, incidence of pelvic inflammatory disease, menstrual recovery time, and incidence of intrauterine adhesion at 1, 3, 6 months after operation were analyzed. Results    Patients in the observation group had less vaginal bleeding［（49±8）ml vs （93±13）ml］, shorter bleeding time［（5.1±2.6）d vs （6.5±3.4）d］, thicker endometrium at 2 and 4 weeks after operation［（2.1±0.8）mm vs （1.7±0.7）mm, （9.2±1.2）mm vs （8.5±1.3）mm］ and shorter menstrual recovery time［(32±4)d vs (34±4)d］ as compared with the control group（all P＜0.05）. Postoperative uterine re-clearance rate, incidences of pelvic inflammatory disease and intrauterine adhesion were similar between groups（all P＞0.05）. Conclusion    Pelvic floor electrophysiological treatment in patients after induced abortion can help suppress vaginal bleeding, promote endometrial and menstrual recovery, and reduce postoperative complications.