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目的:分析宫颈环形电切术(LEEP)手术对人工流产的影响,为LEEP术后早孕妊娠选择流产方式提供依据。方法:收集73例LEEP术后早孕妊娠进行人工流产的病例资料,观察流产结局并分析原因。结果:69例(93.15%)人工流产手术一次成功;4例(6.85%)人工流产手术失败,其中2例探针无法进入宫腔,2例探针进入宫腔后扩条无法进入宫颈管,此4例患者改药物流产,口服米索前列醇4 h无妊娠物脱出,予清宫术,手术成功。结论:宫颈LEEP操作术后仅极少部分存在宫颈狭窄,对人工流产扩张宫颈造成困难导致手术失败;米非司酮、米索前列醇的合用使能够妊娠的宫颈狭窄得以扩张,再配合清宫术可成功终止妊娠。
Objective: To analyze the effect of cervical ring electrosurgical excision (LEEP) on induced abortion and provide the basis for choosing the method of abortion in the first trimester of pregnancy after LEEP. Methods: 73 cases of pregnancy induced abortion after LEEP were collected. The abortion outcome was analyzed and the reasons were analyzed. Results: 69 cases (93.15%) had successful abortion; 4 cases (6.85%) failed abortion; 2 cases failed to enter the uterine cavity; 2 cases did not enter the uterine cavity after expanding into the uterine cavity; The 4 patients changed drug abortion, oral misoprostol 4 h without pregnancy prolapse, to curettage, the operation was successful. Conclusion: Cervical LEEP only has very few cervical stenosis after operation, it is difficult for artificial abortion to enlarge cervical dilatation, which leads to failure of operation. Combination of mifepristone and misoprostol can dilate cervical stenosis in pregnancy, Successful termination of pregnancy.