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目的探讨结合雌激素配伍米索前列醇行无痛清宫术对子宫<孕12周的稽留流产进行治疗的效果。方法对106例子宫<孕12周的稽留流产患者口服结合雌激素0.625mg,每8h1次,连服3d,第4天阴道擦洗后阴道后穹窿放置米索前列醇400μg,放药2h后行无痛清宫术。结果急诊刮宫5例(4.7%),无痛清宫术手术用时5～8min,平均6min,人工流产综合征3例(2.9%),术后7d复查B超宫腔是否有残留,完全流产98例(97%),不全流产3例(2.9%),其中1例宫内残留物需二次清宫,再次清宫术后1个月复查B超正常,其中2例宫内残留少,口服新生化颗粒治疗,1个月后复查B超正常,术后出血0～5d,平均3d,且阴道出血明显少于月经量。结论结合雌激素配伍米索前列醇行无痛清宫术治疗子宫<孕12周的稽留流产痛苦小,出血少,效果好,恢复快。
Objective To investigate the effect of esophageal misoprostol combined with misoprostol in painless cesarean section on the treatment of missed abortion in the uterus <12 weeks pregnant. Methods 106 cases of uterine pregnancy <12 weeks of missed abortion patients oral administration of estrogen 0.625mg, every 8h1 times, and even served 3d, 4 days after vaginal scrub vaginal fornix placed misoprostol 400μg, 2h after the release of drug Painful Gong surgery. The results of emergency curettage in 5 cases (4.7%), painless hysterectomy surgery time of 5 ~ 8min, an average of 6min, abortion syndrome in 3 cases (2.9%), 7d postoperative examination of the uterine cavity B, 98 cases of complete abortion (97%), incomplete abortion in 3 cases (2.9%), of which 1 case of intrauterine residue to be second curettage, again 1 month after the curettage examination B supernormal, including 2 cases of intrauterine residual less oral administration of new biochemical particles Treatment, 1 month after the review of B-normal, postoperative bleeding 0 ~ 5d, an average of 3d, and vaginal bleeding was significantly less than the amount of menstruation. Conclusion Combination of estrogen and misoprostol line painless curettage uterus <12 weeks pregnant missed missed abortion little bleeding, the effect is good, fast recovery.