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目的研究米非司酮配伍米索前列醇行无痛清宫术治疗稽留流产的临床效果。方法在2015年4月至2016年4月期间,选取92例于我院行无痛清宫术治疗稽留流产的患者定为本研究的研究对象。按照其住院时间将其分为观察组与对照组,各46例。采用米非司酮配伍米索前列醇行无痛清宫术对观察组患者进行治疗;采用乙烯雌酚与清宫术联合治疗对照组患者。观察两组患者的完全流产率、术中出血量以及平均手术时间等指标。结果对照组患者完全流产率(67.39.%)明显低于观察组(86.96%),该组术中出血量(132.72±44.23ml)明显多于观察组(93.42±34.26ml);其平均手术时间(13.25±6.35h)长于观察组(5.27±1.22h),以上三组数据均存在明显差异(P<0.05),具有统计学意义。结论米非司酮配伍米索前列醇行无痛清宫术治疗稽留流产的临床效果更佳,该治疗方法不仅能够提高患者的完全流产率,而且能够减少其术中出血量,还能缩短其平均手术时间,从而促进患者快速康复,值得在临床上推广。
Objective To study the clinical effect of mifepristone combined with misoprostol in the treatment of missed abortion. Methods From April 2015 to April 2016, 92 patients who underwent painless cataract extraction and abortion in our hospital were selected as the study subjects. According to their length of stay, they were divided into observation group and control group, 46 cases in each. Mifepristone with misoprostol line painless curettage in the observation group patients treated with diethylstilbestrol and curettage in the control group patients. The complete abortion rate, blood loss and average operation time of two groups were observed. Results The rate of complete abortion (67.39%) in the control group was significantly lower than that in the observation group (86.96%). The mean amount of bleeding in the control group (132.72 ± 44.23ml) was significantly higher than that in the observation group (93.42 ± 34.26ml) (13.25 ± 6.35h) was longer than that of the observation group (5.27 ± 1.22h). There was significant difference between the above three groups (P <0.05), which was statistically significant. Conclusion The combination of mifepristone and misoprostol in the treatment of missed abortion is more effective in treating missed abortion. This treatment can not only improve the patient’s complete abortion rate, but also reduce the intraoperative blood loss and shorten the average Surgery time to promote rapid recovery of patients, it is worth in the clinical promotion.