芪归益母方联合宫腔镜治疗流产后胚物残留的效果观察

Observation on the effect of Qiguiyimu decoction combined with hysteroscopy in the treatment of embryo residue afterabortion

目的探讨芪归益母方联合宫腔镜治疗流产后胚物残留的临床效果。方法选取156例流产后胚物残留患者,采用随机数字表法分为对照组和研究组,每组78例。两组均实施无痛宫腔镜下吸宫术,研究组术后给予芪归益母方治疗,对照组术后给予抗生素治疗。比较两组临床疗效。结果研究组总有效率高于对照组(P<0.05)。研究组术后尿人绒毛膜促性腺激素(HCG)转阴时间、月经复潮时间均短于对照组(P<0.05)。研究组术后并发症发生率15.38%低于对照组的51.28%(P<0.05)。结论芪归益母方联合宫腔镜治疗流产后胚物残留,临床效果确切,值得基层医院推广与应用。

Objective To explore the clinical effect of Qiguiyimu decoction combined with hysteroscopy in the treatment of residual embryo after abortion.Methods 156 patients with residual embryo after abortion were selected and divided into control group and study group by random number table method,with 78 cases in each group.Painless hysteroscopic aspiration was performed in both groups.The study group was treated with Qiguiyimu decoction after operation,and the control group was treated with antibiotics after operation.The clinical efficacy of the two groups was compared.Results The total effective rate of the study group was higher than that of the control group(P<0.05).The conversion time of human chorionic gonadotropin(HCG)and menstrual rehydration time in the study group were shorter than those in the control group(P<0.05).The incidence of postoperative complications in the study group was 15.38%lower than that in the control group(51.28%)(P<0.05).Conclusion Qiguiyimu decoction combined with hysteroscopy in the treatment of embryo residue after abortion has definite clinical effect,which is worth popularizing and applying in basic hospitals.