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目的:分析剖宫产术后短时间内再次妊娠的最佳终止妊娠方式。方法:将2012年10月-2014年7月期间在乐山市五通桥区人民医院就诊96例剖宫产术后1年内再次早期妊娠患者甲组(人工流产)、乙组(药物流产)和丙组(药物联合清宫术),每组32例,对比3组患者流产效果。结果:丙组、甲组完全流产率明显高于乙组,阴道出血时间短于乙组(P<0.05),甲、丙两组对比,差异无统计学意义(P>0.05)。丙组手术时间、术中出血量、患者疼痛程度、对子宫损伤及术后远期宫颈、宫腔粘连等并发症均少于甲组(P<0.05)。结论:在剖宫产术后再次早期妊娠流产患者行药物流产联合清宫术,完全流产率高,损伤小,操作简单,效果显著。
Objective: To analyze the best termination of pregnancy after a short period of pregnancy after cesarean section. Methods: From October 2012 to July 2014, 96 cases of early pregnancy were treated in Group A (abortion), Group B (medical abortion) and Group C in 96 cases of Cesarean section at People’s Hospital of Wutongqiao District, Leshan City. (Drug combined with curettage), 32 cases in each group, comparing the abortion effect of 3 groups of patients. Results: The complete abortion rate of Group C and Group A was significantly higher than that of Group B, and the vaginal bleeding time was shorter than that of Group B (P <0.05). There was no significant difference between Group A and Group C (P> 0.05). Group C had less complications than group A (P <0.05), such as operation time, intraoperative blood loss, patient’s pain degree, uterine injury and postoperative long-term cervical and intrauterine adhesions. Conclusion: After cesarean section again early pregnancy abortion patients with abortion combined with curettage, complete abortion rate, less damage, simple operation, the effect is significant.