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超声监护对米非司酮合并前列腺素终止早孕的意义 被引量:2

The role of ultrasound scanning in the evaluation of effect of termination of early pregnancy with mifepristone and prostaglandin
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摘要 300例闭经≤49天,35岁以下,要求终止妊娠的早孕健康妇女,采用第一天上午空腹顿服米非司酮200mg,第4天加用国产PG05阴道栓剂一枚(lmg),对其中112例因临床需要,进行B型超声(B超)检查。结果:(1)临床观察未见绒毛排出29例,B超显示宫腔内未见异常或未见胎囊者13例;宫腔内见到胎囊及胚胎者16例。(2)临床观察已见胎囊及绒毛排出,但出血超过15天未净者83例,B超显示宫腔内有残留物或强光团,其中6l例经治疗及临床观察出血停止,自然月经恢复,证实为完全流产;另22例因出血多行清宫术,经病理证实19例为残留组织、3例为凝血块。提示在药物流产过程中,根据临床症状与B超相结合进行严密的监测,适时干预,以提高药物流产效果。 Three hundreds health women at the age of≤35 years with≤49 days of amenorrhea re- ceived a single dose of 200mg mifepristone on the first day,and lmg of methylester of prostaglandin F2α(PG05)vaginal suppository in the morning of fourth day。 The outcome of termination of early preg- nancy showed a complete abortion of 87.2% in 112 cases,B-ultrasound scanning were performed among which no chorionic villi were found clinically in 29 cases, and bleeding longer than l5 days in 83 cases, though embryo and villi were expelled clinically. The course of abortion was closely followed-up clinically in combination with B-ultrasound examination with the purpose of improving the effect of medical abortion.
出处 《生殖医学杂志》 CAS 1994年第4期202-203,共2页 Journal of Reproductive Medicine
关键词 米非司酮 前列腺素 超声波监护 终止妊娠 Mifepristone Prostaglandins Ultrasonic Abortion,induce
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