宫腔镜治疗稽留流产临床研究.docVIP

宫腔镜治疗稽留流产临床研究 　　【摘要】 目的 探讨宫腔镜治疗稽留流产的临床效果。方法 200例稽留流产患者， 依据治疗措施不同分为对照组100例和观察组100例。对照组直接给予清宫术进行治疗， 观察组给予复方米非司酮、米索前列醇以及宫腔镜下进行清宫术治疗， 观察两组患者术中出血量、住院时间情况；观察两组患者术后流血时间， 术后宫颈、宫腔粘连， 妊娠残留和再次清宫术情况。结果 观察组患者术中出血量、住院时间均低于对照组， 观察组术后流血时间， 术后宫颈、宫腔粘连， 妊娠残留和再次清宫术明显优于对照组， 差异均有统计学意义（P0.05）。结论 宫腔镜治疗稽留流产的临床效果明显， 预后良好， 值得临床推广应用。 　　【关键词】 宫腔镜；稽留流产；临床疗效 　　DOI：10.14163/j.cnki.11-5547/r.2015.18.016 　　Clinical research of hysteroscope in the treatment of missed abortion DENG Li-ping， HUANG Xiang-cui. Qingyuan City Maternal and Child Health Care Hospital， Qingyuan 511500， China 　　【Abstract】 Objective To investigate the clinical effect of hysteroscope in the treatment of missed abortion. Methods A total of 200 patients with missed abortion were divided by different treatment measures into control group with 100 cases and observation group with 100 cases. The control group received complete curettage of uterine cavity for treatment， and the observation group received compound mifepristone， misoprostol and hysteroscopic curettage. Observations were made on intraoperative bleeding volume， hospital stay， intrauterine adhesion， residual pregnancy and secondary curettage of the two groups. Results The observation group had lower intraoperative bleeding volume， hospital stay， and better postoperative bleeding time， postoperative cervical and intrauterine adhesion， residual pregnancy and secondary curettage than the control group. Their differences all had statistical significance （P0.05）. Conclusion Hysteroscope provides precise clinical effect with good prognosis in treating missed abortion， and it is worthy of clinical promotion and application. 　　【Key words】 Hysteroscope； Missed abortion； Clinical effect 　　稽留流产又被称为过期流产， 其主要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]。近年来随着人们婚育观念的变化和女性妊娠年龄的增大， 稽留流产的发生率明显升高[2]。另外人工流产不全或者药物流产不全有时也可能增加人为稽留流产的发生率。本研究通过对本院稽留流产患者临床资料进行分析， 拟探讨宫腔镜治疗稽留流产的有效防范， 现将结果汇报如下。 　　1 资料与方法 　　1. 1 一般资料 选取本院2012年12月～2014年12月妇产科收治的200例稽留流产患者临床资料进行分析， 依据治疗措施不同进行临床分组， 对照组100例， 年龄20～39岁， 平均年龄（27.5±4