摘要
目的观察分析瘢痕子宫妊娠早期终止妊娠清宫时出血量的治疗方法及效果。方法选取我院2010年7月至2012年7月瘢痕子宫妊娠早期终止妊娠清宫的患者36例,按照数字表随机抽取法分成观察组与对照组各18例,观察组在终止妊娠前给予口服米非司酮预防性治疗,对照组在终止妊娠前不采取妊娠预防性措施。观察对比两组患者清宫时的出血量。结果观察组患者清宫时出血量为50～150mL,平均出血量为(78.9±5.6)mL;对照组患者清宫时出血量为150～500mL,平均出血量为(300.4±10.6)mL;两组清宫时出血量对比差异具有统计学意义(t=8.4168,P<0.05);两组术后感染发生率及术后B超复查组织残留发生率对比,差异具有显著统计学意义(P<0.01)。结论在瘢痕子宫妊娠早期终止妊娠清宫前给予预防性使用米非司酮治疗,可以有效地减少清宫术的出血量。
Objective To observe the treatment method and effect of bleeding amount after clear palace for early termination of cesarean scar pregnancy. Methods 36 patients with clear palace for early termination of cesarean scar pregnancy in our hospital from July 2010 to July 2012 were selected and divided into the observation group and control group, with 18 cases in each group. The observation group received the mifepristone by orally for prophylactic treatment before the termination of pregnancy, while the control group did not received the prophylactic treatment before the termination of pregnancy. The bleeding amounts of two groups were compared. Results The bleeding amount for clear palace in the observation group was 50 - 150 mL, with the average bleeding amount of （78.9 ± 5.6） mL; the bleeding amount for clear palace in the control group was 150 - 500 mL, with the average bleeding amount of （300.4 ± 10.6） mL; the difference of bleeding amount between two groups was statistically significant （t = 8.416 8, P 〈0.05）. The differences of postoperative infection incidence and organization residual incidence between two groups were statistically significant （P 〈0.01）. Conclusions Using mifepristone before clear palace for early termination of cesarean scar pregnancy can effectively reduce bleeding amount.
出处
《临床医学工程》
2013年第8期963-964,共2页
Clinical Medicine & Engineering
关键词
瘢痕子宫
妊娠早期
终止妊娠
清宫
并发症
Uterine scar
Early trimester of pregnancy
Termination of pregnancy
Clear palace
Complications
