中国社区医师
中國社區醫師
중국사구의사
Chinese Community Doctors
2014年
28期
50-51
,共2页
MTX联合米非司酮%瘢痕子宫妊娠%临床分析
MTX聯閤米非司酮%瘢痕子宮妊娠%臨床分析
MTX연합미비사동%반흔자궁임신%림상분석
TMX combined with mifepristone%Uterine scar pregnancy%Clinical analysis
目的：探讨MTX联合米非司酮治疗瘢痕子宫妊娠的临床疗效。方法：2010年7月-2013年6月收治瘢痕子宫妊娠并要求流产的患者90例，分为观察组53例与对照组37例，观察组应用MTX配伍米非司酮，对照组按常规行钳刮术直接清宫，观察记录两组的宫颈松弛度、手术出血量及人工流产综合征(RAAS)的发生情况。结果：观察组与对照组比较，宫颈松弛度要好，术中出血量明显减少，人工流产综合征的发生率也降低，且差异均具有统计学意义(P＜0.05)。结论：MTX联合米非司酮治疗瘢痕子宫妊娠的临床疗效较好，是一种安全、有效、简便的治疗方法。
目的：探討MTX聯閤米非司酮治療瘢痕子宮妊娠的臨床療效。方法：2010年7月-2013年6月收治瘢痕子宮妊娠併要求流產的患者90例，分為觀察組53例與對照組37例，觀察組應用MTX配伍米非司酮，對照組按常規行鉗颳術直接清宮，觀察記錄兩組的宮頸鬆弛度、手術齣血量及人工流產綜閤徵(RAAS)的髮生情況。結果：觀察組與對照組比較，宮頸鬆弛度要好，術中齣血量明顯減少，人工流產綜閤徵的髮生率也降低，且差異均具有統計學意義(P＜0.05)。結論：MTX聯閤米非司酮治療瘢痕子宮妊娠的臨床療效較好，是一種安全、有效、簡便的治療方法。
목적：탐토MTX연합미비사동치료반흔자궁임신적림상료효。방법：2010년7월-2013년6월수치반흔자궁임신병요구유산적환자90례，분위관찰조53례여대조조37례，관찰조응용MTX배오미비사동，대조조안상규행겸괄술직접청궁，관찰기록량조적궁경송이도、수술출혈량급인공유산종합정(RAAS)적발생정황。결과：관찰조여대조조비교，궁경송이도요호，술중출혈량명현감소，인공유산종합정적발생솔야강저，차차이균구유통계학의의(P＜0.05)。결론：MTX연합미비사동치료반흔자궁임신적림상료효교호，시일충안전、유효、간편적치료방법。
Objective:To explore the clinical effect of TMX combined with mifepristone in the treatment of uterine scar pregnancy. Methods:90 cases of scarred uterus pregnancy and abortion patients were selected from July 2010 to June 2013.They were divided into the observation group with 53 cases and the control group with 37 cases.The observation group were treated with TMX combined with mifepristone,and the control group were treated with curettage.We observed and record the relaxation degree, amount of bleeding and artificial abortion syndrome(RAAS) of the two groups.Results:Compared with the control group,in the observation group,cervical relaxation was better;the amount of intraoperative bleeding was significantly reduced;the incidence of artificial abortion syndrome was lower;the difference has statistical significance(P<0.05).Conclusion:The clinical effect of TMX combined with mifepristone in the treatment of uterine scar pregnancy is good.It is a safe,effective,convenient treatment.
