药物联合清宫术在疤痕子宫早孕流产中的应用

Observation of Application of Medication combined with curettage abortion of early pregnancy in scar uterus

目的：探讨疤痕子宫早孕人工流产的安全性及最佳手术方式。方法：回顾性分析2005年5月~2011年12月安徽省宣城中心医院妇产科门诊自愿要求人工流产的疤痕子宫早孕妇女177例。随机分为A、B、C三组,各59例,A组采用口服药物（米非司酮＋米索前列醇）;B组采用口服药物（米非司酮＋米索前列醇）联合清宫术;C组直接吸宫,观察A、B两组阴道流血量及时间长短,观察B、C两组宫口扩张情况、术中腹痛、人流综合症、出血量。结果：B组阴道流血量明显少于A组,流血时间明显短于A组;B组在宫口扩张效果、术中腹痛、人流综合症发生率和出血量明显优于C组。

Objective： To study the safety and optimum operation mode for uterine scar pregnancy abortion.Method： A retrospective analysis of 177cases of uterine scar pregnancy women in Xuancheng central hospital of Anhui Province Department of gynecology and obstetrics outpatient between 2005 May to 2011 December was performed.All patients were randomly divided into A,B,C three groups（59 cases each）,group A with oral mifepristone and misoprostol;group B with oral mifepristone and misoprostol combined uterine curettage;group C direct uterine curettage.To observe A,B two group of the amount of vaginal bleeding and the length of time,and B,C two group of dilation and intraoperative bleeding and abdominal pain and abortion syndrome.Result： The amount of vaginal bleeding in B group was obviously less than group A,bleeding time was significantly shorter than that in the A group,dilatation of cervix effect and intraoperative abdominal pain and abortion syndrome and bleeding in group B were significantly better than that of C group.