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目的探讨未产妇人工流产术前阴道放置米索前列醇片后宫口扩张的临床效果。方法将200例行人工流产术的早孕未产妇分成两组:观察组100例于术前1h阴道放置米索前列醇片400μg,对照组100例术前不用任何药物,用传统宫颈扩张法进行人工流产术,观察两组术中扩宫的难易程度,术中出血量及人工流产综合征的发生情况。结果观察组宫口扩张有效率为90%(90/100),明显高于对照组20%(20/100),P<0.001;观察组术中出血量为(7±5.25)ml,也少于对照组(25±8.45)ml,差异有统计学意义(P<0.01)。结论阴道用米索前列醇用于未产妇人工流产术应用简便,宫颈扩张好,手术时并发症少,是安全有效的扩宫法。
Objective To investigate the clinical effect of misoprostol misoprostol misoprostol on cervix uterus after vaginal preoperative vaginal discharge. Methods Two hundred pregnant women were randomly divided into two groups: 100 in the observation group placed 400 μg of misoprostol in the vagina of the observation group, and 100 in the control group without any medication before surgery. The patients underwent artificial cervical dilatation Abortion, observed the difficulty of expanding the two groups intraoperative, intraoperative bleeding and the incidence of induced abortion syndrome. Results The effective rate of dilatation of cervix in observation group was 90% (90/100), which was significantly higher than that of control group (20/100), P <0.001. The bleeding volume in observation group was (7 ± 5.25) ml, In the control group (25 ± 8.45) ml, the difference was statistically significant (P <0.01). Conclusions Vaginal misoprostol for abortion is not simple and easy to employ, with good cervical dilatation and less complications during operation. It is safe and effective.