CAJ | 학술논문

目的：：探讨终止瘢痕子宫再次中期妊娠的方式。方法：选择瘢痕子宫妊娠98例，随机分为对照组和观察组，各49例。对照组孕妇采用依沙吖啶羊膜腔内注射引产；观察组采用米非司酮治疗和羊膜腔内注射依沙吖啶终止瘢痕子宫妊娠，观察2组孕妇终止妊娠的临床效果。结果：观察组引产时间、软产道损伤和胎盘胎膜残留均少于对照组(P<0.05~P<0.01)。结论：米非司酮配合羊膜腔内注射依沙吖啶终止瘢痕子宫妊娠具有较可靠的临床效果，且手术方式简单，明显降低对患者的损伤。
목적：：탐토종지반흔자궁재차중기임신적방식。방법：선택반흔자궁임신98례，수궤분위대조조화관찰조，각49례。대조조잉부채용의사아정양막강내주사인산；관찰조채용미비사동치료화양막강내주사의사아정종지반흔자궁임신，관찰2조잉부종지임신적림상효과。결과：관찰조인산시간、연산도손상화태반태막잔류균소우대조조(P<0.05~P<0.01)。결론：미비사동배합양막강내주사의사아정종지반흔자궁임신구유교가고적림상효과，차수술방식간단，명현강저대환자적손상。
Objective:To investigate the termination way of pregnancy again in patients with scar uterine. Methods:The data of 98 pregnancy women with scar uterine were retrospectively analyzed,all cases were randomly divided into the control group(49 cases) and observation group(49 cases). The observation group and control group were treated with mifepristone combined with injecting rivanol into amniotic cavity and only injecting rivanol into amniotic cavity for odinopoeia, respectively. The clinical effects of terminating pregnancy in pregnancy women with scar uterine in two groups were observed. Results:The odinopoeia time,soft birth canal injury and placental membrane residues in observation group were less than those in control group(P<0. 05 to P<0. 01). Conclusions:The effects of the mifepristone combined with injecting rivanol into amniotic cavity in the termination of pregnancy are good,the operation method is simple,and its injury is little.