卡孕栓在人工流产不全中的应用探讨

目的:探讨卡孕栓在人工流产不全中的应用效果。方法:将186例人工流产术后不规则阴道流血超过10天、B超检查提示宫内有混合性较强回声或低回声包块、大小在2.0 cm×2.0 cm以内的患者分成观察Ⅰ组和观察Ⅱ组,观察Ⅰ组宫内为混合性低回声包块,观察Ⅱ组宫内为混合性较强回声包块,两组患者均连续3天每天阴道后穹窿放置卡孕栓0.5 mg,停药2天后复查B超及查看阴道流血情况。结果:观察Ⅰ组用药后在阴道流血停止例数及宫内组织物排出例数方面明显多于观察Ⅱ组,差异有统计学意义(P<0.05)。结论:阴道后穹窿放置卡孕栓对人工流产术后不规则阴道流血、B超检查提示宫内残留组织物包块为混合性低回声的患者有显著的止血及促进宫内组织排出作用,值得推广试用。     

米非司酮终止早孕的超声监测与分析

目的:探讨安全使用米非司酮配伍米索前列醇终止早孕的方法。方法:观察600例早孕妇女服药后孕囊排出时间、出血量及其与孕龄、孕次及孕妇年龄的关系。对服药后出血多或流产后阴道出血超过10 d者行超声检查。结果:服药4 h之内孕囊排出者占91.00%,孕龄、孕次及孕妇的年龄与孕囊排出的时间和服药后出血量无明显关系。服药6 h后孕囊未排出者,出血量明显增加,超声检查提示宫腔内有孕囊或混合性光团存在。结论:孕49 d内,药物流产成功率不会因孕龄的增加而下降,且与孕妇的年龄、孕次无关,服药6 h后未排出孕囊者,应行清宫术。     

卡孕栓用于人工流产术后组织残留的疗效观察

目的 观察卡孕栓用于人工流产术后组织残留的临床效果.方法 将104例人工流产术后10天仍有阴道流血而复诊,复查B超示宫内有混合性回声光团,大小在2.0cm×2.0cm以内的患者随机分成两组,卡孕栓组给予卡孕栓0.5mg阴道后穹窿上药,1次/d,连续用药3天,对照组给予缩宫素10u肌注,1次/d,连续用药3天,两组均于用药后2天复查B超并观察阴道出血情况.分别观察两组的临床疗效.结果 卡孕栓组痊愈率与缩宫素组相比明显增高,差异有显著意义(P<0.05).结论 卡孕栓组用于人工流产术后组织残留的治疗有良好的效果,值得临床推广.     

电话随访指导人工流产术后患者的体会

目的通过对人工流产术后患者实施电话随访咨询,为流产术后患者提供帮助,促进患者早日康复。方法对门诊实行人工流产术后的患者在术后10～14天实施电话随访服务及术后健康指导。结果人工流产后的合并症减少,患者对医院的信任度增加。结论流产后咨询给患者提供计划生育知识,减少再次非意愿妊娠的发生,提高了患者的生活质量。     

宫颈癌及癌前病变中HPV16E6／E7的检测及其意义

To leam whether HPV16 E6/E7 genes correlate with cervical carcinoma and precancerous lesions. Methods Amplification and cloning of HPV16 E6/E7 genes were performed by PCR and molecular biological techniques for their sequences. Cervical cancer, CIN Ⅱ - Ⅲ and cervicitis were confirmed by pathologic detections. Results Detection rates of HPV16 E6/E7 in biopsies of cervical carcinoma, CIN Ⅱ - Ⅲ and cervicitis were individually 70%, 75% and 65%. Statistic results show that there is no difference among them in HPV16 E7 detection. Also ther is no difference between cervical cancer and CIN Ⅱ - Ⅲ in HPV16 E6 detection, however, both were higher detections than in cervicitis statistically. Conclusion HPV16 E6/E7 genes correlate with cervical carcinoma and precancerous lesions. E6 gene might especially function on occurrence of cervical carcinoma from precancerous lesions.