稽留流产128例临床分析.docVIP

精品论文 参考文献 稽留流产128例临床分析 孙金凤 （深圳市观澜人民医院妇科 518110) 【摘要】目的 探讨稽留流产的发病因素，诊断及治疗方法，预防稽留流产的发生。稽留流产（missed abortion）是指胚胎或胎儿已死亡滞留宫腔内未能及时自然排出者[1]，是自然流产的一种特殊类型。造成稽留流产的原因很多，但机制尚不明确。方法　采用回顾性方法对稽留流产的临床资料进行分析。结果　稽留流产与胎儿遗传基因的缺陷、外界不良因素的影响及母体疾患有关。结论　探讨稽留流产的发病因素，诊断及治疗方法，预防稽留流产的发生，对育龄妇女的身心健康有着重要的意义。胎儿遗传基因的缺陷，染色体异常是发生稽留流产的主要原因。B超是主要的诊断方式 。诊断明确后应及时排空子宫。 【关键词】 稽留流产 基因缺陷 诊断 治疗 【中图分类号】R714.21 【文献标识码】A 【文章编号】2095-1752（2012）22-0155-02 Clinical analysis of 128 cases of missed abortion SUN Jinfeng *Shenzhen City, Baoan District, peoples Hospital Department of gynaecology ( 518110) 【Abstract】 Objective: To investigate the incidence of missed abortion factors, diagnosis and method of treatment, prevention of the occurrence of missed abortion. Missed abortion (missed abortion) refers to the embryo or fetus has retained intrauterine death not naturally discharged ( 1 ), is a special type of spontaneous abortion. Causes of missed abortion for many reasons, but the mechanism is not clear. Methods: the retrospective approach on clinical data analysis of missed abortion. Results: the missed abortion and fetal genetic defects, adverse external factors and the effect of maternal disease of. Conclusion: the incidence of missed abortion factors, diagnosis and method of treatment, prevention of the occurrence of missed abortion, on the health of women of childbearing age has important significance. Fetal genetic defects, chromosome abnormality is the main reason of occurrence of missed abortion. B ultrasound is the main diagnostic methods. The diagnosis should be promptly after the evacuation of uterus. 【Key words】 missed abortion genetic defect diagnosis treatment 2010～2011年我院共收治稽留流产128例，占流产数2.65%，2009～2010年仅100例，占流产数2.05%，发病率有明显上升趋势。现对128例稽留流产病例分析报告如下： 1.资料与方法 1.1 研究对象: 收集我院2010年1月～2011年12月，128例均为生育年龄妇女，年龄20～45岁，月经史无异常，65例患者有不良工作环境（电脑硬件生产厂、皮鞋厂等，电脑软件开发人员），6例为新装修1年内入住并怀孕的，2例孕妇O型血，丈夫A型。根据病史、妇科