安宫黄体酮在药物流产后治疗阴道流血的效果观察

Observation on effect of MPA in the Treatment of Vaginal Bleeding after Drug Abortion

目的:探讨药物流产术后阴道流血时间延长患者的最佳治疗方式。方法:2005.1～2006.12我院门诊就诊孕32～49天,自愿要求药物终止妊娠的健康妇女,口服药物流产,孕囊排出后仍有少量阴道流血达到或超过半月者,彩超证实宫腔内有少量蜕膜残留(残留面积<1cm^2),给予安宫黄体酮保守治疗者75例为观察组,同期同等条件行清宫术者50例为对照组。结果:两组年龄、孕周、阴道流血时间及宫腔残留物比较,无统计学差异。结论:安宫黄体酮,通过子宫内膜撤退性出血,起到了药物性刮宫的作用。

Objective： To research the optimal method for treating prolonged duration of vaginal bleeding after drug abortion. Methods： Outpatients, who were healthy women and were pregnant for 32 ～49days, were accepted the medical curettage treatment during Jan. 2005 ～Dec.2006. After medical abortion orally, misoprostol gestational sacs had been expelled, and the duration of small amounts of vaginal bleeding reached or exceeded half a month. Ultrasound test verified that there were small quantity of residual decidual tissues in uterine cavity （the residual circumference〈1cm^2）. The observation group（n=75） was given conservative treatment with MPA; while the control group （n=50） was performed uterine curettage at the corresponding period and the same clinical conditions. Results： There was no significant difference in age, gestational age, the duration of vaginal bleeding and intrauterine residuals between the observation group and the control group. Conclusion： MPA can take effect of medical curettage via endometriumwithdrawal hemorrhage.