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目的探索米索前列醇用于一年内疤痕子宫妊娠人流术的安全性和优越性。方法将我院一年内疤痕子宫妊娠拟行无痛流产的179例随机分为两组,观察组即用米索前列醇放置阴道后穹隆行无痛流产94例,对照组不加药行无痛流产85例,两组进行临床分析。结果观察组应用米索前列醇使宫颈软化扩张总有效率100%,满意率92.5%,对照组宫颈扩张总有效率45.9%,满意率9.4%;手术时间:观察组(1.5±0.35)min,对照组(3.5±0.55)min;术中出血量:观察组(11±3.4)ml,对照组(21±3.5)ml,两组间比较差异有统计学意义(P<0.01)。对照组一例为剖宫产后4个月哺乳中疑似穿孔。结论米索前列醇湿片放置后穹窿用于疤痕子宫妊娠无痛流产,缩短了手术时间,减少了术中出血,提高了手术的安全性值得推广。
Objective To explore the safety and superiority of misoprostol in the abortion of aborted uterine pregnancy in one year. Methods One hundred and seventy-nine cases of painless uterine abortion within one year in our hospital were randomly divided into two groups. In the observation group, 94 cases were treated with misoprostol for vaginal vault painless abortion, while those in the control group were asymptomatic Abortion 85 cases, two groups for clinical analysis. Results In the observation group, the total effective rate of cervical softening and expansion was 100% and the satisfaction rate was 92.5%. The total effective rate of cervical dilatation in the control group was 45.9% and the satisfaction rate was 9.4%. The operative time was 1.5 ± 0.35 min in observation group, (3.5 ± 0.55) min in the control group. The intraoperative blood loss was 11 ± 3.4 ml in the observation group and 21 ± 3.5 ml in the control group. There was significant difference between the two groups (P <0.01). One case of control group was suspicious perforation in lactation 4 months after cesarean section. Conclusion The misoprostol placed after vault for scar pregnancy uterine painless abortion, shortening the operation time, reducing intraoperative bleeding and improve the safety of the surgery worth promoting.