中国性科学
中國性科學
중국성과학
THE CHINESE JOURNAL OF HUMAN SEXUALITY
2015年
8期
3-5
,共3页
稽留流产%清宫术%屈螺酮炔雌醇片%宫腔粘连%子宫内膜
稽留流產%清宮術%屈螺酮炔雌醇片%宮腔粘連%子宮內膜
계류유산%청궁술%굴라동결자순편%궁강점련%자궁내막
Missed abortion%Curettage operation%Yasmin%Intrauterine adhesions%Endometrium
目的：探讨稽留流产清宫术后应用屈螺酮炔雌醇片对患者术后宫腔粘连及子宫内膜修复的影响。方法：在我院就诊的92例稽留流产清宫术患者，随机分为对照组和观察组，各46例。对照组患者给予常规治疗；观察组患者在常规治疗的基础上给予屈螺酮炔雌醇片治疗。结果：观察组患者术后阴道流血持续时间、阴道流血量、月经复潮时间及子宫内膜恢复厚度指标均优于对照组，差异具有统计学意义（P ＜0.01）；术后2周，观察组患者尿 HGG 转阴率80.43％，高于对照组患者尿 HGG 转阴率52.17％，差异具有统计学意义（P ＜0.01）；观察组患者宫腔粘连的总发生率为6.52％，低于对照组患者宫腔粘连总发生率21.74％，差异具有统计学意义（P ＜0.05）。结论：稽留流产清宫术后应用屈螺酮炔雌醇片，可有效缩短阴道流血时间、减少阴道流血量、缩短月经复潮时间，有利于子宫内膜修复，同时能有效预防术后宫腔粘连的发生。
目的：探討稽留流產清宮術後應用屈螺酮炔雌醇片對患者術後宮腔粘連及子宮內膜脩複的影響。方法：在我院就診的92例稽留流產清宮術患者，隨機分為對照組和觀察組，各46例。對照組患者給予常規治療；觀察組患者在常規治療的基礎上給予屈螺酮炔雌醇片治療。結果：觀察組患者術後陰道流血持續時間、陰道流血量、月經複潮時間及子宮內膜恢複厚度指標均優于對照組，差異具有統計學意義（P ＜0.01）；術後2週，觀察組患者尿 HGG 轉陰率80.43％，高于對照組患者尿 HGG 轉陰率52.17％，差異具有統計學意義（P ＜0.01）；觀察組患者宮腔粘連的總髮生率為6.52％，低于對照組患者宮腔粘連總髮生率21.74％，差異具有統計學意義（P ＜0.05）。結論：稽留流產清宮術後應用屈螺酮炔雌醇片，可有效縮短陰道流血時間、減少陰道流血量、縮短月經複潮時間，有利于子宮內膜脩複，同時能有效預防術後宮腔粘連的髮生。
목적：탐토계류유산청궁술후응용굴라동결자순편대환자술후궁강점련급자궁내막수복적영향。방법：재아원취진적92례계류유산청궁술환자，수궤분위대조조화관찰조，각46례。대조조환자급여상규치료；관찰조환자재상규치료적기출상급여굴라동결자순편치료。결과：관찰조환자술후음도류혈지속시간、음도류혈량、월경복조시간급자궁내막회복후도지표균우우대조조，차이구유통계학의의（P ＜0.01）；술후2주，관찰조환자뇨 HGG 전음솔80.43％，고우대조조환자뇨 HGG 전음솔52.17％，차이구유통계학의의（P ＜0.01）；관찰조환자궁강점련적총발생솔위6.52％，저우대조조환자궁강점련총발생솔21.74％，차이구유통계학의의（P ＜0.05）。결론：계류유산청궁술후응용굴라동결자순편，가유효축단음도류혈시간、감소음도류혈량、축단월경복조시간，유리우자궁내막수복，동시능유효예방술후궁강점련적발생。
Objectives:To investigate the effect of Yasmin intervention on intrauterine adhesions and endo-metrial repair in curettage operation of missed abortion.Methods:92 cases of missed abortion patients in our hospi-tal were randomly divided into control group and observation group,46 cases in each group.Control group:patients were given conventional treatment.Observation group:patients received both conventional treatment and Yasmin treatment.Results:The vaginal bleeding duration after operation,the amount of vaginal bleeding,menstruation time,endometrial thickness restoration index in the observation group were better than the control group,with signif-icant difference (P <0.01 ).After 2 weeks,the urine HGG negative rate in the observation group was 80.43%, higher than 52.1 7% in the control group,with significant difference (P <0.01 ).The total incidence of intrauterine adhesions in the observation group was 6.52%,lower than 21 .74% in the control group,with significant difference (P <0.05).Conclusion:Application of Yasmin in curettage operation of missed abortion can effectively shorten the time of vaginal bleeding,reduce the amount of vaginal bleeding,shorten the time of menses resumption,which is conducive to repairing the endometrium and can effectively prevent the occurrence of intrauterine adhesions.
