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目的探讨剖宫产术后非意愿妊娠终止手术安全性。方法早晨空腹口服米非司酮75mg,连续服2 d,第3天上午空腹服米索前列醇0.6 mg,用药后在门诊或在家按医嘱观察宫缩强弱、阴道出血量多少及有无淡粉色绒球状组织物流出,并观察绒毛排出时间、是否完整等。完全流产者不需要清宫,不完全流产需行清宫术,失败者直接行清宫术。结果完全流产36例(72%),不完全流产13例(26%),无效1例(2%)。完全流产率高,产后出血量少,疼痛明显减轻,孕妇易于接受。结论药物流产手术医生及孕妇均易于接受,是一种安全、效果显著、并发症少的理想方法,值得推广。
Objective To investigate the safety of termination of unplanned pregnancy after cesarean section. Methods In the morning fasting oral mifepristone 75mg, continuous service 2 d, the morning of the third day morning taking misoprostol 0.6 mg, after treatment in the clinic or at home by observing the contractions strength, vaginal bleeding amount and whether the light Pink pompano-like fabric outflow, and observe the villus discharge time, is complete and so on. Complete abortion do not need Qing, incomplete abortion need to curettage, losers directly curettage. Results Complete abortion in 36 cases (72%), incomplete abortion in 13 cases (26%), ineffective in 1 case (2%). Complete abortion rate, less postpartum hemorrhage, pain was significantly reduced, pregnant women easy to accept. Conclusion Medical abortion surgeons and pregnant women are easy to accept, which is an ideal method which is safe, effective and less complication. It is worth popularizing.