瘢痕子宫妊娠药物流产安全性及有效性的临床研究

Clinical research on safety and effecition of medicine abortion for pregnancy in scar uterus

探讨瘢痕子宫妊娠药物流产的安全性和有效性。方法：选择剖宫产术后妊娠８８例，采用口服 米非司酮配伍米索前列醇流产，观察流产效果和副作用。结果：停经≤７周完全流产率为９４％，８～１６周完全流 产率为８９．４７％，两组流产有效者均在口服米索前列醉后１０ｈ内流产，无１例发生强直性宫缩和子宫破裂。结论： 药物终止瘢痕子宫妊娠安全、有效，避免了人工流产可能会发生的子宫损伤。

To approach the safety and effecition of medicine abortion in scar uterus pregnacy. Methods: 88 pregnancy after casarean section was aborted using mifepristone and misprostol, and to observed abortion effecitive and side effect. Results: When amenorrhea was≤7 and 8-16 weeks, the rate of complete abortion are 94% and 89.47%. all abortions occured within 10 hours after teking misprostol. No tetanic and rupture of uterus was seen. Conclusion: The study demonstrated the medicine abortion is a safe and effective method,and to avoid rupture of scar uterus in casee of induced abortion.