医学美学美容（中旬刊）
醫學美學美容（中旬刊）
의학미학미용（중순간）
MEDICAL AESTHETICS AND COSMETOLOGY
2014年
5期
62-63,64
,共3页
疤痕子宫%妊娠%引产
疤痕子宮%妊娠%引產
파흔자궁%임신%인산
uterine scar%pregnancy%induction of labor
目的：探讨疤痕子宫孕妇妊娠引产的临床特点及安全性。方法：选择我站2012年1月至2014年1月收治的疤痕子宫妊娠引产的患者60例，随机分为两组，观察组采用米素前列醇联合米非司酮处理。对照组采用利凡诺羊膜腔穿刺处理，对两组临床资料进行回顾性分析。结果：观察组30例未加用缩宫素，宫缩在临产后呈正常状态，28例引产成功，总成功率为93．3％。对照组30例于72h再行利凡诺100mg羊膜腔穿刺后24例引产成率，失败6例，总成功率为80％。宫颈裂伤、术后清宫率、宫颈裂伤率、腹痛程度、胎膜残留、用药至分发娩总时间观察组状况均优于对照组，差异有统计学意义（P＜005）。结论：在疤痕子宫妊娠的引产中，采用米非司酮联合米索前列醇处理效果明显优于利凡诺羊膜腔穿刺，降低国产时出血量、缩短引产时间、减少胎膜残留、宫颈损伤的发生率，使惠者痛苦减轻，提高了引产成功率，明显改善了患者生存质量。
目的：探討疤痕子宮孕婦妊娠引產的臨床特點及安全性。方法：選擇我站2012年1月至2014年1月收治的疤痕子宮妊娠引產的患者60例，隨機分為兩組，觀察組採用米素前列醇聯閤米非司酮處理。對照組採用利凡諾羊膜腔穿刺處理，對兩組臨床資料進行迴顧性分析。結果：觀察組30例未加用縮宮素，宮縮在臨產後呈正常狀態，28例引產成功，總成功率為93．3％。對照組30例于72h再行利凡諾100mg羊膜腔穿刺後24例引產成率，失敗6例，總成功率為80％。宮頸裂傷、術後清宮率、宮頸裂傷率、腹痛程度、胎膜殘留、用藥至分髮娩總時間觀察組狀況均優于對照組，差異有統計學意義（P＜005）。結論：在疤痕子宮妊娠的引產中，採用米非司酮聯閤米索前列醇處理效果明顯優于利凡諾羊膜腔穿刺，降低國產時齣血量、縮短引產時間、減少胎膜殘留、宮頸損傷的髮生率，使惠者痛苦減輕，提高瞭引產成功率，明顯改善瞭患者生存質量。
목적：탐토파흔자궁잉부임신인산적림상특점급안전성。방법：선택아참2012년1월지2014년1월수치적파흔자궁임신인산적환자60례，수궤분위량조，관찰조채용미소전렬순연합미비사동처리。대조조채용리범낙양막강천자처리，대량조림상자료진행회고성분석。결과：관찰조30례미가용축궁소，궁축재임산후정정상상태，28례인산성공，총성공솔위93．3％。대조조30례우72h재행리범낙100mg양막강천자후24례인산성솔，실패6례，총성공솔위80％。궁경렬상、술후청궁솔、궁경렬상솔、복통정도、태막잔류、용약지분발면총시간관찰조상황균우우대조조，차이유통계학의의（P＜005）。결론：재파흔자궁임신적인산중，채용미비사동연합미색전렬순처리효과명현우우리범낙양막강천자，강저국산시출혈량、축단인산시간、감소태막잔류、궁경손상적발생솔，사혜자통고감경，제고료인산성공솔，명현개선료환자생존질량。
Objective:To investigate the clinical characteristics and safety of uterine scar pregnancy induced labor.Methods:60 patients with me from 2012 January to 2014 January were uterine scar pregnancy,were randomly divided into two groups,the observation group with misoprostol and mifepristone treatment.The control group were treated with rivanol amniocentesis treat-ment,the clinical data of two patients were retrospectively analyzed.Results:the observation group of 30 cases without using oxytocin,uterine contraction was normal in 28 cases after labor,la-bor,the total success rate was 93.3%.30 cases of the control group in 72h and rivanol amniocentesis after 100mg induction rate of 24 cases,6 cases failed,the total success rate was 80%. Cervical laceration,postoperative curet age rate,cervical laceration rate,abdominal pain,drug delivery,fetal membranes residue to distribute the total time of observation group were bet er than thecontrolgroup,thediferencewasstatisticalysignificant(P<005).Conclusion:uterinescarpregnancyininductionoflaborbymifepristonecombinedwithmisoprostol,issuperiortorivanol amniocentesis,reduce domestic hemorrhage,shorten delivery time,reduce fetal membranes residue,cervical injury rate,make the patients pain,improve the successful rate of induced labor, improved the quality of life of patients.
