米非司酮、米索前列醇片用于疤痕子宫合并早孕终止方法的比较

Mifepristone,Misoprostol Tablets for scar uterus with pregnancy terminationmethods

目的探讨疤痕子宫合并早孕终止方法。方法将疤痕子宫合并早孕且要求终止者80例随机分为两组。第1组吸宫术前2 h空腹顿服米非司酮片75 mg,第2组吸宫术前2 h空腹顿服米索前列醇片600μg,两组均在B超引导下吸宫,观察服药及吸宫期间腹痛、出血量、宫颈扩张程度、人工流产综合征及妊娠物残留等情况。结果第1组服用米非局酮片组腹痛、宫颈扩张困难、人工流产综合征,出血量发生率明显低于第2组米索前列腺组。结论服用米非司酮后在B超引导下吸宫对于终止疤痕子宫合并早孕是比较安全、可靠的方法。

Objective To investigate the early pregnancy terminating scar uterine concentration method.Methods The scar uterus with pregnancy and the termination of 80 cases were randomly divided into two groups.First groups of uterine aspiration 2 hournonfasting orally 75 mg Mifeisitong Pian,Second groups of uterine aspiration 2 hournonfasting meal served Misoprostol Tablets 600 mu g,The two groups were in the B ultrasound guided aspiration,Observation of medication and aspiration during abdominal pain,bleeding volume,the degree of cervical dilatation,the abortion syndrome and the overall situation ofresidual pregnancy tissue.Results The fi rst groups taking furazolidone tablets group and bureau of abdominal pain,cervical dilatation,the diffi culty of artifi cial abortion syndrome,The amount of bleeding was significantly lower than the second group ofmisoprostol group.Conclusion The effect of mifepristone on the B ultrasound guided aspiration isrelatively safe,reliable method for termination of early pregnancy with scar uterus.