三种引产方法联合对瘢痕子宫妊娠中期终止妊娠安全性的影响

Effect of combined use of three labor induction methods on the safety of pregnancy termination in the second trimester of scarred uterus

目的分析子宫颈扩张球囊、米非司酮、乳酸依沙吖啶(利凡诺)三者联合对瘢痕子宫妊娠中期孕妇成功引产及安全性的影响。方法选择2018年3月至2023年3月武安市第一人民医院收诊的160例瘢痕子宫妊娠中期孕妇,依照随机法将患者分成A、B、C、D四组,每组40例,比较各组引产后分娩阶段、临床引产效果、孕妇引产相关并发症的发生率。结果D组引产24 h内分娩率最高,达52.50%(P<0.05);D组孕妇引产相关并发症总发生率仅7.50%,显著低于A、B、C组,差异有统计学意义(P<0.05),其中D组孕妇中未出现子宫破裂患者。结论三种方法联合对瘢痕子宫妊娠中期孕妇引产成功率及安全性较高。

Objective To analyze the effect of the combination of cervical dilation balloon,mifepristone and ethacridine lactate(Rivanol)on successful labor induction and safety of pregnant women with second trimester with scar uterus.Methods A total of 160 pregnant women with second trimester of scarred uterus admitted to the First People's Hospital of Wuan City from March 2018 to March 2023 were randomly divided into four groups,A,B,C and D,with 40 cases in each group.The stage of labor after labor induction,clinical effects of labor induction,and incidence of complications related to labor induction were compared in each group were analyzed.Results Group D had the highest delivery rate within 24 h(52.50%)(P<0.05).The total incidence of induced labor related complications in group D was only 7.50%,which was significantly lower than that in groups A,B and C(P<0.05).There was no uterine rupture in group D.Conclusion The success rate and safety of the three combined methods in inducing labor in the second trimester of scarred uterus are higher.