雌孕激素序贯疗法在稽留流产刮宫术后患者中应用价值.docVIP

雌孕激素序贯疗法在稽留流产刮宫术后患者中应用价值 　　[摘要] 目的 探讨雌孕激素序贯疗法在稽留流产刮宫术后患者中的应用价值。 方法 选取我院2014年6月～2015年6月收治的稽留流产行刮宫术的患者150例，按照随机数字表法随机分为对照组与研究组，对照组患者刮宫术后使用常规抗生素抗感染，研究组在常规抗感染基础上使用雌孕激素序贯疗法辅助治疗。比较两组患者术后子宫腔粘连发生率、阴道出血时间、子宫内膜修复情况（子宫内膜厚度与月经复潮时间）。 结果 研究组患者的宫腔粘连发生率为3.8%，明显低于对照组的16.7%，差异有统计学意义（P0.05）。研究组的子宫内膜厚度明显大于对照组，月经复潮时间短于对照组，差异有统计学意义（P0.05）。 结论 稽留流产行刮宫术的患者术后使用雌孕激素序贯疗法具有较好的临床疗效，能快速有效地恢复子宫内膜，适合临床推广应用。 　　[关键词] 雌孕激素序贯疗法；稽留流产；刮宫术；应用价值 　　[中图分类号] R719.3+4 [文献标识码] A [文章编号] 1674-4721（2016）01（b）-0076-03 　　Application value of sequential therapy of estrogen and progesterone treating missed abortion in patients after dilatation and curettage 　　ZHOU Wei HUANG Juan XIONG Ju-ying LU Hong-mei 　　Department of Obstetrics and Gynecology，Yifeng People′s Hospital in Jiangxi Province，Yifeng 336300，China 　　[Abstract] Objective To explore the application value of sequential therapy of estrogen and progesterone treating missed abortion in patients after dilatation and curettage. Methods 150 patients with missed abortion given dilatation and curettage received by our hospital from June 2014 to June 2015 were selected.Patients were divided into control group and study group according to the random number table method.Patients in control group were given routine antibiotics to anti-infection after dilatation and curettage.Patients in study group were given adjuvant treatment of sequential therapy of estrogen and progesterone on the basis of routine anti-infection.Postoperative incidence rate of intrauterine adhesions，vagnal bleeding time and endometrial repair situation （endometrial thickness and return time of menstruation） was compared in patients between two groups. Results Incidence rate of intrauterine adhesions in study group （3.8%） was obviously lower than that of control group （16.7%），and the difference was statistical significance （P0.05）.Endometrial thickness in study group was obviously bigger than that of control group，and return time of menstruation in study group was shorter than that of control