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目的对瘢痕子宫中期妊娠药物引产失败者,采用导尿管宫腔放置引产,探讨其可行性及安全性。方法 39例瘢痕子宫中期妊娠药物引产失败患者作为研究对象,将2根导尿管置于子宫壁和羊膜腔之间,分别注水形成小水囊,观察其自然娩出情况。结果 36例胎儿胎盘自然娩出(92.3%),2例胎盘滞留(5.1%),1例失败(2.6%)。结论瘢痕子宫中期妊娠药物引产失败后,采用导尿管宫腔放置作为引产补救措施,安全有效。
Objective To investigate the feasibility and safety of inducing abortion in middle uterine scar pregnancy with uterine catheterization. Methods Thirty-nine patients with induced abortion of uterine scar during the second trimester of pregnancy were studied. Two catheters were placed between the uterine wall and the amniotic cavity, and were respectively filled with water to form a small water sac. The natural delivery was observed. Results 36 cases of fetal placenta spontaneous delivery (92.3%), 2 cases of placenta accreta (5.1%), 1 case of failure (2.6%). Conclusion After uterine scarring of midwifery leads to induction of labor failure, it is safe and effective to use ureter uterine cavity as a remedy for induction of labor.