中期妊娠引产方法的研究进展

Research Progress of the Labor Induction of Mid-term Pregnancy

中期妊娠引产是避孕失败后的补救措施。近年来,中期妊娠引产所采用的方法发生了很大变化。扩宫和吸宫手术已经代替了小剖宫术;用无创的方法给予前列腺素类似物代替了注射多种药物,如高张盐水等;最有效的药物方案是前列腺素类似物联合米非司酮。使中期妊娠引产效果更好、不良反应更低、并发症更少。现从有创途径、手术方法、无创途径三个方面论述中期妊娠引产方法的进展。

Mid-term induction of labor is the measure of remedy of birth control failure.In the recent years there is very large change in mid-term induction of labor.Cervial dilatation and uterine aspiration have replaced small cesarean section;non-traumatic methods of prostaglandin analogue injectionhave replaced of multi-drug injection,such as hypertonic saline;the most effective medication plan is prostaglandin analogue with mifepristone,which has better effect,lower adverse reaction and less complication.Here is to summarize the progress of the mid-term induction of labor from the perspectives of traumatic approach,surgical methods and non-traumatic approach.