三种方法治疗人工流产不全患者的临床疗效对比分析

A comparative study on three different therapeutic methods for incomplete abortion

目的对比分析三种方法治疗人工流产不全患者的临床疗效。方法选取180例流产不全伴有少量阴道出血的患者,按不同的治疗方法随机分为激素组(口服激素)、微管组(用一次性宫腔组织吸引管吸宫)及传统组(用传统金属器械行刮宫术),比较三组患者子宫内膜厚度、阴道出血时间、月经情况及治疗后并发症。结果激素组患者治疗后7d、14d、21d、28d子宫内膜厚于微管组和传统组,阴道出血时间和月经复潮时间显著短于微管组和传统组,差异具有统计学意义(P<0.05),激素组患者治疗后无并发症发生。结论雌孕激素序贯疗法治疗人工流产不全是一种安全的、完全流产成功率高、痛苦小、并发症少的治疗方法。

Objective To comparatively analyze the clinical efficacy of three treatment methods for incom-plete abortion. Methods A total of 180 patients with incomplete abortion complicated with a small amount ofvaginal bleeding were enrolled in this study.Based on different regimen,all the patients were randomly alloca-ted to a hormone group （oral hormone ）,a micro-tube group （used disposable uterine cavity tissue suction tube in artificial abortion）and a traditional group （used traditional metal instruments in dilatation and curet-tage）.Compared of endometrial thickness,vaginal bleeding,menstruation and post-treatment complications among three groups of patients. Results On day 7,day 14,day 21 and day 28 after hormone therapy,pa-tients in hormone group had thicker endometrium than the traditional group and the micro-tube group,and had shorter vaginal bleeding duration and menstruation than the micro-tube group and the traditional group.Group-paired comparison showed statistically significant differences （P〈0.05）.No complications occurred in patients with hormone therapy. Conclusion Sequential estrogen and progestational hormone therapy ofincomplete abortion is a safe treatment with high complete abortion successful rate,less pain,and fewer com-plications.