米非司酮配伍米索前列醇联合清宫术治疗稽留流产的疗效观察

发布时间：2018-11-04 09:31

【摘要】：目的:探讨米非司酮配伍米索前列醇联合清宫术治疗稽留流产的临床效果。方法:选取2013年7月—2016年7月江西省安福县妇幼保健院收治的稽留流产患者60例作为研究对象。以随机数字表法分为观察组和对照组各30例。对照组患者给予戊酸雌二醇,3 d后行清宫术治疗;观察组患者给予米非司酮、米索前列醇联合清宫术治疗。比较2组患者的治疗效果。结果:观察组患者手术时间、阴道出血量、疼痛发生率及人工流产综合征发生率均显著小于对照组,观察组患者1次清宫成功率、宫颈软化及扩张总有效率均明显高于对照组,差异均有统计学意义(P0.05)。结论:米非司酮配伍米索前列醇联合清宫术治疗稽留流产,疗效显著,可减少并发症发生率。
[Abstract]:Objective: to investigate the clinical effect of mifepristone combined with misoprostol combined with uterine clearing in the treatment of missed abortion. Methods: 60 patients with missed abortion were selected from July 2013 to July 2016 in Anfu County Maternal and Child Health Hospital of Jiangxi Province. Randomly divided into observation group and control group of 30 cases. The patients in the control group were treated with estradiol valerate for 3 days and the patients in the observation group were treated with mifepristone combined with misoprostol. To compare the therapeutic effect of the two groups. Results: the operative time, vaginal bleeding volume, incidence of pain and induced abortion syndrome in the observation group were significantly lower than those in the control group. The success rate of single uterine clearance, the total effective rate of cervix softening and dilatation in the observation group were significantly higher than those in the control group. The difference was statistically significant (P0.05). Conclusion: Mifepristone combined with misoprostol combined with uterine clearance is effective in the treatment of missed abortion and can reduce the incidence of complications.
【作者单位】： 江西省安福县妇幼保健院妇产科;
【分类号】：R169.42

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