Wei Qun, Wang Xiufen, Yang Xinyi, He Yu, Hong Xia, Wang Zilian
Nursing Department, Sir Run Run Shaw Hospital, School of Medicine, Zhejiang University, Hangzhou City, Zhejiang Province, People's Republic of China.
Int J Womens Health. 2025 Jul 28;17:2327-2333. doi: 10.2147/IJWH.S535786. eCollection 2025.
To evaluate the clinical value of routinely using sterile gauze strips to occlude the vagina after transvaginal ultrasound-guided oocyte retrieval (TVOR) in preventing postoperative vaginal bleeding.
The medical records of 1194 patients who underwent transvaginal oocyte retrieval between March and April 2024 were retrospectively analyzed. Patients with no obvious bleeding at the vaginal puncture site were divided into group A (without gauze packing, 586 cases) and group B (with conventional gauze packing, 608 cases) according to whether gauze was used to control bleeding. The incidence of vaginal bleeding at 30 minutes, 1 hour, 3 hours and bloody discharge at 3 days after oocyte retrieval was compared by the chi-square test between the two groups. Patients in group B were also assessed for their tolerance of gauze tamponade removal and the ease and accuracy of postoperative gauze management.
There was no statistical difference in general patient information between the two groups (P>0.05). Compared with group B the incidence of vaginal bleeding at 30 minutes (χ=8.631, P<0.05) and the incidence of bloody or brown vaginal discharge 3 days (χ=56.50, P<0.05) postoperatively was significantly higher in group A, and the incidence of vaginal bleeding at 1 hour postoperatively and 3 hours postoperatively was not significantly different in the two groups (P>0.05). Patients in group B tolerated vaginal tamponade and gauze removal better.
Routine use of sterile gauze after transvaginal oocyte collection significantly reduces the incidence of vaginal bleeding and is well tolerated by patients.
评估经阴道超声引导下取卵术后（TVOR）常规使用无菌纱布条填塞阴道预防术后阴道出血的临床价值。
回顾性分析2024年3月至4月间1194例行经阴道取卵术患者的病历资料。阴道穿刺点无明显出血的患者，根据是否使用纱布控制出血分为A组（未用纱布填塞，586例）和B组（常规纱布填塞，608例）。采用卡方检验比较两组患者取卵术后30分钟、1小时、3小时阴道出血发生率及术后3天血性分泌物情况。同时对B组患者进行纱布填塞取出耐受性及术后纱布管理的便捷性和准确性评估。
两组患者一般资料比较，差异无统计学意义（P>0.05）。与B组比较，A组术后30分钟阴道出血发生率（χ=8.631，P<0.05）及术后3天阴道血性或褐色分泌物发生率（χ=56.50，P<0.05）明显更高，两组术后1小时及3小时阴道出血发生率差异无统计学意义（P>0.05）。B组患者对阴道填塞及纱布取出耐受性更好。
经阴道取卵术后常规使用无菌纱布可显著降低阴道出血发生率，且患者耐受性良好。
