摘要
目的:观察瘢痕子宫人工流产术前使用米非司酮联合米索前列醇的效果,以寻求安全、有效、并发症少的手术方式。方法:400例瘢痕子宫妊娠6～10周自愿要求人工流产术的患者随机分为观察组200例与对照组200例。观察组在术前24h空腹服用米非司酮150mg,次日晨给予米索前列醇口服3h后行人工流产术;对照组直接行人工流产术。结果:观察组宫颈软化、宫口扩张、术中出血量少、手术时间短、手术不良反应(疼痛、人工流产综合征)发生率低,与对照组比较有显著性差异(P<0.05)。结论:瘢痕子宫人工流产术前用米非司酮及米索前列醇效果满意,不良反应发生率低,宫颈扩张程度改善,术中出血少,人工流产手术创伤及并发症少。
Objective：To explore uterine scar before artificial abortion using mifepristone combined with misoprostol clinical effect, to seek a safe, effective, with few complications of operation mode. Methods ：400 cases of uterine scar pregnancy 6 - 10 week volunteered to artificial abortion patients were randomLy divided into the observation group 200 cases and control group of 200 ca- ses. The observation group in the preoperative fasting taking mifepristone 24h ,3h oral misoprostol given the next morning after artifi- cial abortion;the control group directly to artificial abortion. Resuhs：the observation group, cervical softening dilation operation,less bleeding, short operation time, operation with low incidence of adverse reactions （ pain, artificial abortion syndrome）, does not in- crease the adverse dr.9 g reactions and resumption of menstruation;compared with the control group with significant difference（P 〈 0.05 ）. Conclusion ： uterine scar before artificial abortion using mifepristone combined with misoprostol method is a satisfactory clini- cal effects, adverse reaction rate is low, degree of cervical dilatation was significantly improved, less bleeding, significantly reduce the artificial abortion oneration trauma and comnlication.
出处
《实用中医药杂志》
2012年第3期207-208,共2页
Journal of Practical Traditional Chinese Medicine
