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目的：探讨利凡诺配伍米非司酮在瘢痕子宫后再孕引产中的应用，及其对雌孕激素的影响。方法将要求终止中期妊娠的子宫瘢痕妊娠（CSP）患者70例随机分为2组，各35例。对照组单纯给予利凡诺引产，联合组给予利凡诺配伍米非司酮引产。比较两组的引产效果、并发症及对血清泌乳素、雌三醇及孕酮水平的变化。结果与对照组比较，联合组宫缩发动时间、总产程明显缩短，产后2h出血量明显减少，疼痛明显减轻（P<0.05）；联合组引产并发症发生率为8.6%，明显低于对照组37.1%（P<0.05）；用药后24h、引产后24h，两组泌乳素、雌三醇及孕酮均明显下降，且联合组各雌孕激素水平低于对照组（P<0.05）。结论利凡诺配合米非司酮应用于CSP引产可明显缩短产程，减少产后出血和引产并发症，且对雌孕激素的影响大于单用利凡诺，引产效果更好。“,”To explore the application of mifepristone combined with rivanol for the induction of labor in cesarean scar pregnancy(CSP), and its influence on the level of estrogen and progestin. Methods:70 CSP women who required to terminate mid-term gestation were randomly divided into 2 groups. Control group (n=35) was performed by rivanol only, and combination group (n=35) was performed by mifepristone combined with rivanol. The effect of labor induction, complication, serum prolactin, estriol and progesterone were observed and analyzed. Result:Compared with control group, the start time of contractions, total stage of labor in combination group was obviously shortened, postpartum hemorrhage within 2h significantly reduced, and the pain significantly eased(P<0.05). The total complications of induced labor in combination group was 8.6%, significantly lower than 37.1% in control group (P<0.05). The level of prolactin, estriol and progesterone in combination group at 24h, 24h after induced labor were significantly decreased, and these indicators in combination group were significantly lower than those in control group(P<0.05).Conclusions: Rivanol combined with mifepristone used in induced abortion for CSP can obviously shorten the stage of labor, reduce postpartum hemorrhage and complications, and the effect on level of hormone is greater than rivanol only, has better effect on induced abortion.