齐齐哈尔医学院学报
齊齊哈爾醫學院學報
제제합이의학원학보
JOURNAL OF QIQIHAR MEDICAL COLLEGE
2015年
24期
3665-3666
,共2页
稽留流产%雌激素%流血量
稽留流產%雌激素%流血量
계류유산%자격소%류혈량
Missed abortion%Estrogen%Cadaverine quantity of bleeding
目的：本文探讨了改进传统肌注苯甲酸雌二醇＋清宫术治疗稽留流产的方法。方法60名患者分成两组，每组30人。 A组采用传统方法，B组采用改进方法，即口服补佳乐5片／次，每天2次，在第一日晚加服米非司酮50 mg／次，1次／12小时，在第3天两种药物同时停用，改为口服米索前列醇600μg，等待胚胎自然排除后清宫或阴道流血多于月经量时及时行清宫术。结果人工流产综合征传统方法占47．5％，而改进方法只有12．5％；术中出血量传统方法为10～20 ml，改进方法为70～100 ml；传统方法中12．5％的宫口已开，而改进方法中95％的宫口已开；改进方法的手术时间由传统方法的4～5分钟缩短至2～3分钟，术后阴道流血时间也缩短2天左右。结论虽然阴道流血量高于传统方法，但用药后宫口已开，不需要扩宫口，可有效减轻患者的疼痛及器械扩张宫口对宫颈的损伤，且一次清宫成功的几率增高，减少了对子宫内膜的损伤。
目的：本文探討瞭改進傳統肌註苯甲痠雌二醇＋清宮術治療稽留流產的方法。方法60名患者分成兩組，每組30人。 A組採用傳統方法，B組採用改進方法，即口服補佳樂5片／次，每天2次，在第一日晚加服米非司酮50 mg／次，1次／12小時，在第3天兩種藥物同時停用，改為口服米索前列醇600μg，等待胚胎自然排除後清宮或陰道流血多于月經量時及時行清宮術。結果人工流產綜閤徵傳統方法佔47．5％，而改進方法隻有12．5％；術中齣血量傳統方法為10～20 ml，改進方法為70～100 ml；傳統方法中12．5％的宮口已開，而改進方法中95％的宮口已開；改進方法的手術時間由傳統方法的4～5分鐘縮短至2～3分鐘，術後陰道流血時間也縮短2天左右。結論雖然陰道流血量高于傳統方法，但用藥後宮口已開，不需要擴宮口，可有效減輕患者的疼痛及器械擴張宮口對宮頸的損傷，且一次清宮成功的幾率增高，減少瞭對子宮內膜的損傷。
목적：본문탐토료개진전통기주분갑산자이순＋청궁술치료계류유산적방법。방법60명환자분성량조，매조30인。 A조채용전통방법，B조채용개진방법，즉구복보가악5편／차，매천2차，재제일일만가복미비사동50 mg／차，1차／12소시，재제3천량충약물동시정용，개위구복미색전렬순600μg，등대배태자연배제후청궁혹음도류혈다우월경량시급시행청궁술。결과인공유산종합정전통방법점47．5％，이개진방법지유12．5％；술중출혈량전통방법위10～20 ml，개진방법위70～100 ml；전통방법중12．5％적궁구이개，이개진방법중95％적궁구이개；개진방법적수술시간유전통방법적4～5분종축단지2～3분종，술후음도류혈시간야축단2천좌우。결론수연음도류혈량고우전통방법，단용약후궁구이개，불수요확궁구，가유효감경환자적동통급기계확장궁구대궁경적손상，차일차청궁성공적궤솔증고，감소료대자궁내막적손상。
Objective To explore the clinical effect of an improved method of Intramuscular injection of estradiolbenzoatewithcurettagetreatmentonmissedabortion.Methods 80patientsweredividedintotwo groups, 40 for each group.Group A used traditional methods; group B used the improved method, that taking progynova 50 mg /time, 2 times a day, plus mifepristone 50mg /time at the first night, 12 hours per time, and changed to misoprostol 600μg on the third day.Completed curettage of uterine cavity was taken in-time after for natural pouring of embryo or when the amount of vaginal bleeding is more than that of menstrual breeding. Results Abortion syndrome was 47.5%in the traditional method, which reduced only 12.5% in the improved method; blood loss was 10~20 ml in the traditional method, but it was 70~100 ml in the improved method. Percentage of cervix open was only 12.5% in the traditional method, but reached up to 95% in the improved method.The improved method can shorten the operation time of 4 ~5 minutes to 2 ~3 minutes.Postoperative vaginal bleeding time was also shortened by 2 days.Conclusions Although the amount of vaginal bleeding in the improved method is more than that in the traditional method, it is not necessary to expanding the cervix because it has already open, which can effectively reduce pain of patients and damage by tools on the cervix when expanding it.In addition, the improved method can lead to a very high percentage of one-time complete curettage of uterine cavity, which can reduce damage on endometrium.
