中国医学创新
中國醫學創新
중국의학창신
MEDICAL INNOVATION OF CHINA
2015年
11期
55-57,58
,共4页
周剑%王萍华%常兵%李慧娇
週劍%王萍華%常兵%李慧嬌
주검%왕평화%상병%리혜교
去氧孕烯炔雌醇片%药物流产%残留
去氧孕烯炔雌醇片%藥物流產%殘留
거양잉희결자순편%약물유산%잔류
Desogestrel and Ethinylestradiol Tablets%Drug abortion%Residue
目的：探析去氧孕烯炔雌醇片（妈富隆）治疗瘢痕子宫药物流产不全后宫内残留的疗效。方法：入选本院2013年5月-2014年5月收治的142例药物流产后持续阴道出血2周的患者，随机分为两组，观察组72例采用去氧孕烯炔雌醇片联合益母草保守治疗，对照组70例采用药物流产蜕膜残留手术清宫法治疗，比较两组疗效。结果：观察组完全止血率84.7%（61/72）显著高于对照组47.1%（33/70），差异具有统计学意义（P<0.05）；观察组完全流产62例（86.1%），不全流产8例（11.2%），流产失败2例（2.7%）；对照组完全流产58例（82.9%），不全流产10例（14.3%），流产失败2例（2.8%），两组比较差异无统计学意义（P>0.05）；观察组治疗后子宫体积（143.6±50.2）cm3显著小于对照组（169.9±54.4）cm3，子宫内膜厚度（0.8±0.2）cm也显著小于对照组（1.4±0.3）cm，用药后阴道流血时间（5.6±2.2）d显著短于对照组（9.4±2.5）d，妊娠残留物排出时间（4.2±2.5）d也显著短于对照组（6.8±2.8）d，月经情况显著优于对照组，差异均具有统计学意义（P<0.05）。结论：妈富隆治疗药物流产不全后宫内残留完全止血率高，阴道流血时间短，并可调节月经情况，促进子宫恢复。
目的：探析去氧孕烯炔雌醇片（媽富隆）治療瘢痕子宮藥物流產不全後宮內殘留的療效。方法：入選本院2013年5月-2014年5月收治的142例藥物流產後持續陰道齣血2週的患者，隨機分為兩組，觀察組72例採用去氧孕烯炔雌醇片聯閤益母草保守治療，對照組70例採用藥物流產蛻膜殘留手術清宮法治療，比較兩組療效。結果：觀察組完全止血率84.7%（61/72）顯著高于對照組47.1%（33/70），差異具有統計學意義（P<0.05）；觀察組完全流產62例（86.1%），不全流產8例（11.2%），流產失敗2例（2.7%）；對照組完全流產58例（82.9%），不全流產10例（14.3%），流產失敗2例（2.8%），兩組比較差異無統計學意義（P>0.05）；觀察組治療後子宮體積（143.6±50.2）cm3顯著小于對照組（169.9±54.4）cm3，子宮內膜厚度（0.8±0.2）cm也顯著小于對照組（1.4±0.3）cm，用藥後陰道流血時間（5.6±2.2）d顯著短于對照組（9.4±2.5）d，妊娠殘留物排齣時間（4.2±2.5）d也顯著短于對照組（6.8±2.8）d，月經情況顯著優于對照組，差異均具有統計學意義（P<0.05）。結論：媽富隆治療藥物流產不全後宮內殘留完全止血率高，陰道流血時間短，併可調節月經情況，促進子宮恢複。
목적：탐석거양잉희결자순편（마부륭）치료반흔자궁약물유산불전후궁내잔류적료효。방법：입선본원2013년5월-2014년5월수치적142례약물유산후지속음도출혈2주적환자，수궤분위량조，관찰조72례채용거양잉희결자순편연합익모초보수치료，대조조70례채용약물유산세막잔류수술청궁법치료，비교량조료효。결과：관찰조완전지혈솔84.7%（61/72）현저고우대조조47.1%（33/70），차이구유통계학의의（P<0.05）；관찰조완전유산62례（86.1%），불전유산8례（11.2%），유산실패2례（2.7%）；대조조완전유산58례（82.9%），불전유산10례（14.3%），유산실패2례（2.8%），량조비교차이무통계학의의（P>0.05）；관찰조치료후자궁체적（143.6±50.2）cm3현저소우대조조（169.9±54.4）cm3，자궁내막후도（0.8±0.2）cm야현저소우대조조（1.4±0.3）cm，용약후음도류혈시간（5.6±2.2）d현저단우대조조（9.4±2.5）d，임신잔류물배출시간（4.2±2.5）d야현저단우대조조（6.8±2.8）d，월경정황현저우우대조조，차이균구유통계학의의（P<0.05）。결론：마부륭치료약물유산불전후궁내잔류완전지혈솔고，음도류혈시간단，병가조절월경정황，촉진자궁회복。
Objective:To analyze the Desogestrel and Ethinylestradiol Tablets(Marvelon)effect in the treatment of uterine scar incomplete drug abortion intrauterine residue.Method:142 cases of medicine logistics postpartum were selected in our hospital from May 2013 to May 2014,in which two weeks patients were with persistent vaginal bleeding, were randomly divided into two groups,the observation group of 72 cases with Desogestrel and Ethinylestradiol Tablets combined with motherwort conservative treatment,the control group of 70 cases with drug abortion decidual residue operation curettage therapy,compared two the therapeutic effect of the group. Result:The observation group hemostasis rate was 84.7%(61/72)was significantly higher than that in control group 47.1%(33/70),with significant difference (P<0.05);the observation group after treatment of uterine volume(143.6±50.2)cm3 was significantly lower than that of control group(169.9±54.4)cm3,endometrial thickness(0.8±0.2)cm also significantly less than that of the control group(1.4±0.3)cm,the duration of vaginal bleeding after drug(5.6±2.2)d was significantly shorter than that in control group(9.4±2.5)d,gestational residue discharge time(4.2±2.5)d was significantly shorter than that in control group(6.8 ±2.8)d,menstruation was significantly better than the control group,the difference differences were statistically significant(P<0.05).Conclusion:Marvelon in the treatment of incomplete abortion Intrauterine Residue after the hemostasis rate is high,the vaginal bleeding time is short,and which can regulate menstruation and promote uterine recovery.
