中国医学前沿杂志（电子版）
中國醫學前沿雜誌（電子版）
중국의학전연잡지（전자판）
CHINESE JOURNAL OF THE FRONTIERS OF MEDICAL SCIENCE(ELECTRONIC VERSION)
2014年
10期
111-113
,共3页
超声检查%米非司酮%人工流产%并发症
超聲檢查%米非司酮%人工流產%併髮癥
초성검사%미비사동%인공유산%병발증
Ultrasound%Minestrone%Abortion%Complication
目的：分析并探讨B超监测与米非司酮口服预防人工流产并发症的临床效果。方法选取来本院要求终止妊娠孕妇630例，随机分为观察组、对照A组和对照B组。对照A组孕妇全程B超监测，对照B组孕妇术后口服米非司酮，观察组孕妇B超监测联合米非司酮口服。统计三组孕妇人工流产不全发生率、阴道出血时间、月经失调、月经恢复时间。结果观察组孕妇人工流产不全0例（0.00%），明显低于对照A组[6例（2.86%）]和对照B组[7例（3.33%）]，差异显著（P＜0.05），对照A组与对照B组比较无显著差异（P＞0.05）。观察组孕妇平均阴道出血时间[（6.12±2.13）天]明显短于对照A组[（10.34±3.03）天]和对照B组[（8.24±2.67）天]，差异显著（P＜0.05）。观察组孕妇月经恢复时间[（29.89±3.13）天]与对照A组[（30.05±3.12）天]和对照B组[（29.97±3.05）天]比较无显著差异（P＞0.05）。观察组孕妇月经不调6例（2.86%），明显低于对照A组[26例（12.38%）]和对照B组[31例（14.76%）]，对照A组与对照B组比较无显著差异（P＞0.05）。结论 B超监测联合米非司酮口服可以更精准地对孕囊、胎盘、是否存在宫内残留组织进行定位，降低人工流产不全发生率，更加彻底地将胎盘剥离，缩短阴道出血时间，月经恢复快，尽可能地保留孕妇良好的生育能力，值得临床推广应用。
目的：分析併探討B超鑑測與米非司酮口服預防人工流產併髮癥的臨床效果。方法選取來本院要求終止妊娠孕婦630例，隨機分為觀察組、對照A組和對照B組。對照A組孕婦全程B超鑑測，對照B組孕婦術後口服米非司酮，觀察組孕婦B超鑑測聯閤米非司酮口服。統計三組孕婦人工流產不全髮生率、陰道齣血時間、月經失調、月經恢複時間。結果觀察組孕婦人工流產不全0例（0.00%），明顯低于對照A組[6例（2.86%）]和對照B組[7例（3.33%）]，差異顯著（P＜0.05），對照A組與對照B組比較無顯著差異（P＞0.05）。觀察組孕婦平均陰道齣血時間[（6.12±2.13）天]明顯短于對照A組[（10.34±3.03）天]和對照B組[（8.24±2.67）天]，差異顯著（P＜0.05）。觀察組孕婦月經恢複時間[（29.89±3.13）天]與對照A組[（30.05±3.12）天]和對照B組[（29.97±3.05）天]比較無顯著差異（P＞0.05）。觀察組孕婦月經不調6例（2.86%），明顯低于對照A組[26例（12.38%）]和對照B組[31例（14.76%）]，對照A組與對照B組比較無顯著差異（P＞0.05）。結論 B超鑑測聯閤米非司酮口服可以更精準地對孕囊、胎盤、是否存在宮內殘留組織進行定位，降低人工流產不全髮生率，更加徹底地將胎盤剝離，縮短陰道齣血時間，月經恢複快，儘可能地保留孕婦良好的生育能力，值得臨床推廣應用。
목적：분석병탐토B초감측여미비사동구복예방인공유산병발증적림상효과。방법선취래본원요구종지임신잉부630례，수궤분위관찰조、대조A조화대조B조。대조A조잉부전정B초감측，대조B조잉부술후구복미비사동，관찰조잉부B초감측연합미비사동구복。통계삼조잉부인공유산불전발생솔、음도출혈시간、월경실조、월경회복시간。결과관찰조잉부인공유산불전0례（0.00%），명현저우대조A조[6례（2.86%）]화대조B조[7례（3.33%）]，차이현저（P＜0.05），대조A조여대조B조비교무현저차이（P＞0.05）。관찰조잉부평균음도출혈시간[（6.12±2.13）천]명현단우대조A조[（10.34±3.03）천]화대조B조[（8.24±2.67）천]，차이현저（P＜0.05）。관찰조잉부월경회복시간[（29.89±3.13）천]여대조A조[（30.05±3.12）천]화대조B조[（29.97±3.05）천]비교무현저차이（P＞0.05）。관찰조잉부월경불조6례（2.86%），명현저우대조A조[26례（12.38%）]화대조B조[31례（14.76%）]，대조A조여대조B조비교무현저차이（P＞0.05）。결론 B초감측연합미비사동구복가이경정준지대잉낭、태반、시부존재궁내잔류조직진행정위，강저인공유산불전발생솔，경가철저지장태반박리，축단음도출혈시간，월경회복쾌，진가능지보류잉부량호적생육능력，치득림상추엄응용。
ObjectiveTo analyse and discuss the clinical results with ultrasound monitoring and oral mifepristone to prevente the abortion complications.Method630 cases of pregnant women were randomly divided into observation group, control group A and group B. Control group A took ultrasound monitoring, control group B took mifepristone orally after operation, observation group took ultrasound monitoring combine with mifepristone orally. Compared three groups incidence of incomplete abortion, vaginal bleeding, menstrual disorders, menstrual recovery time.ResultIncomplete abortion of observation group was 0 cases, incomplete abortion rate was 0.00%, significantly lower than control group A [6 (2.86%)] and control group B [7 (3.33%)] (P<0.05); but there was no signiifcant difference between control group A and B (P>0.05). Average vaginal bleeding time of observation group was (6.12±2.13) days, signiifcantly shorter than control group A[(10.34±3.03) days] and control group B [(8.24±2.67) days] (P<0.05). Menstrual recovery time of observation group was (29.89±3.13) days, there was no signiifcant difference compared with control group A [(30.05±3.12) days] and control group B [(29.97±3.05) days] (P>0.05). Menstruation disorders of observation group was 6 cases (2.86%), signiifcantly lower than control group A [26 (12.38%)] and control group B [31 (14.76%)] (P<0.05), but there was no signiifcant difference between control group A and B (P>0.05). ConclusionUltrasound of oral minestrone can be more precise on the gestational sac, placenta, whether there is residual tissue in the uterus for accurate positioning, reduce failure rates of abortion, placental membranes will be more thoroughly peel, shortening vaginal bleeding, menstrual quick recovery, as much as possible to retain the fertility of pregnant women good, worthy of promotion.
