疤痕子宫妊娠中晚期不同引产方法的比较

目的:对比分析疤痕子宫妊娠中晚期不同引产方法的临床疗效。方法:收集我院2008年3月-2014年8月期间要求引产的74例疤痕子宫妊娠中晚期患者作为研究对象,随机分为联合用药组(37例)与单独用药组(37例),单独用药组患者仅采用利凡诺,联合用药组采用米非司酮、地西泮、利凡诺,观察患者的引产成功率、引产时间、产后二十四小时出血量和并发症情况。结果:联合用药组明显优于单独用药组(P<0.05),引产时间明显短于单独用药组,产后二十四小时出血量明显低于单独用药组,软产道裂伤、胎盘胎膜残留例数明显少于单独用药组(P<0.05)。结论:疤痕子宫妊娠中晚期患者采用米非司酮、地西泮、利凡诺联合应用的方式可提高引产成功率。

[abstract ]objective:comparative analysis of uterine scar pregnancy middle-late different clinical curative effect of induced labor method.Methods:collected from March 2008 - August 2014 demand induced labor during the period of 74 patients with uterine scar pregnancy middle-late as the research object,were randomly divided into combined treatment group (37 cases)and drug alone group (37 cases),patients with rivanol only alone group,combination group using mifepristone,diazepam,rivanol,observe the patient''s success rate of induced labor,induced labor time,24 hours postpartum blood loss and complications.Results:the combined treatment group was better than medication alone group (P < 0.05 ),significantly shorter than the single drug induced labor time,24 hours postpartum haemorrhage amount was lower than that in group alone,soft birth canal laceration,placental membranes residues were significantly less than the medicine group (P < 0.05).Conclusion:uterine scar pregnancy middle-late patients using mifepristone,diG azepam,rivanol combined application of the methods can improve the success rate of induced labor.