CAJ | 학술논문

目的:探讨药物流产终止早孕失败的原因及处理方法.方法:对行药物流产的4020例早孕妇女进行观察随访.结果:4020例中,药物流产失败490例,失败率为12.19%,其中妊娠囊未排出者66例,有妊娠囊排出但蜕膜残留者424例,蜕膜残留者中选140例残留面积<2 cm2的行药物性刮宫,成功者136例,其余均行清宫术.结论:药物流产失败与既往有妊娠分娩史、妊娠囊直径、停经时间和子宫位置有密切关系.安宫黄体酮治疗蜕膜残留有效.
목적:탐토약물유산종지조잉실패적원인급처리방법.방법:대행약물유산적4020례조잉부녀진행관찰수방.결과:4020례중,약물유산실패490례,실패솔위12.19%,기중임신낭미배출자66례,유임신낭배출단세막잔류자424례,세막잔류자중선140례잔류면적<2 cm2적행약물성괄궁,성공자136례,기여균행청궁술.결론:약물유산실패여기왕유임신분면사、임신낭직경、정경시간화자궁위치유밀절관계.안궁황체동치료세막잔류유효.
Objective To explore the Reason and management methods for the failed early pregnancy termination induced by medical abortion.Methods 4 020 cases of early pregnant women were involved in this study and followed up who accepted medical abortion in the out-patient department.Results Among the 4 020 medical abortion cases,490 cases failed,with a failure rate of 12.19%,in which 66 cases had non-discharged gestational sac,and 424 cases had discharged gestational sac but remaining decidual.In the decidual remaining cases,140 cases of residual area<2 cm2 underwent drug curettage,successfully in 136 cases,all the rest accepted uterine curettage.Conclusion Failed medical abortion and previous pregnancy history,gestational sac diameter,there is a close relationship between menopause and position of uterus. Medroxyprogesterone decidual residue effectively.