瘢痕子宫中孕引产方法探析.docVIP

瘢痕子宫中孕引产方法探析 　【摘要】 目的 探讨适用于瘢痕子宫患者安全有效的中孕引产方法。方法 瘢痕子宫中孕引产患者65例分三组：第一组20例，依沙吖啶羊膜腔注射引产；第二组22例，米非司酮联合米索前列醇引产；第三组23例，米非司酮联合依沙吖啶引产。比较三种方法的临床效果和不良反应。结果 第二组与第一组相比：排胎时间短，引产成功率高，胎盘胎膜残留率低，无宫颈裂伤，差异有统计学意义（Plt;0.05）。第三组与第一组相比：宫缩发动时间提前，排胎时间短，引产成功率高，胎盘胎膜残留率低，无宫颈裂伤，差异有统计学意义（Plt;0.05）；与第二组相比：宫缩发动时间提前（Plt;0.05），余项相比无统计学意义（Pgt;0.05）。结论 第二、三种引产方法优于第一种，此两种方法用于瘢痕子宫中孕引产安全有效，值得临床推广应用。第三种方法更优于第二种。 【关键词】 瘢痕子宫；中孕引产；依沙吖啶；米非司酮；米索前列醇 ［Abstract］ Objective To investigate the safe effective methods for induced abortion of midtrimester pregnancy patients with a history of cesarean section.Methods 65 cases were divided into three groups at random.Group 1∶20 cases，Ethacridine was used for the induced abortion by intra-amniotic instillation. Group 2∶22 cases，Mifepristone and Misoprostol were used for the induced abortion .Group 3∶23 cases，Mifepristone was used for initiating midtrimester abortion with Ethacridine intra-amniotic instillation.The clinical efficiency and side effects of three groups were compared. Results Group 2 compared with group 1:time of the induced abortion was shortened，success rate of the induced abortion was high，incomplete abortion rate was low，no cervical rupture. The difference had statistic significance（Plt;0.05）.Group 3 compared with group 1:time of the initiation of the uterus contractions and time of the induced abortion were shortened，success rate of the induced abortion was high，incomplete abortion rate was low，no cervical rupture. The difference had statistic significance（Plt;0.05）.Group 3 compared with group 2:time of the initiation of the uterus contractions was shortened（Plt;0.05），there was no statistic significance in else（Pgt;0.05）. Conclusion The second and third methods are better than the first，these two methods are safe and effective for the scar uterus with induced abortion.They are worth applying clinically. The third method is still better than the second. ［Key words］ scar uterus; induced abortion of midtrimester pregnancy; Ethacridine; Mifepristone; Misop