瘢痕子宫中期妊娠引产3种方法比较

COMPARISON OF THREE INDUCED LABOR APPROACHES FOR MIDDLE PREGNANCY IN CICATRICIAL UTERUS

目的探讨终止瘢痕子宫中期妊娠的最佳方法。方法60例瘢痕子宫妊娠14～28周患者随机分3组,分别采用利凡诺羊膜腔注射,利凡诺配伍米非司酮及米非司酮配伍米索前列醇3种方法,观察流产时间、清宫率及阴道流血量。结果米非司酮配伍利凡诺流产时间短,清宫率低(P<0.01),阴道流血量少(P<0.01)。结论米非司酮配伍利凡诺用于终止14～28周瘢痕子宫中期妊娠疗效好,可减少宫腔手术,患者痛苦小,对机体损伤轻、恢复快。

Objective To determine the best approach to end the middle pregancy in cicatricial uterus.Methods 60 women with cicatricial uterus of 14 to 28 weeks pregnancy were randomly divided into 3 groups.Three approaches were used as follows,ethacridine injection of amniotic cavity,ethacridine combined mifepristone and mifepristone combined misoprostol.After which,abortion times,curettage rates and vaginal bleeding volumes were observed.Results Treated with etacridine combined mifepristone,the abortion times were shorten,curettage rates lower,and the vaginal bleeding volumes less. Conclusion Etacridine combined mifepristone is the best approach for the ending of middle pregnancy of 14 to 28 weeks,which can decrease intrauterine operations,lessen patients pains,abate body injuries and promote recovery.