疤痕子宫孕妇中期妊娠引产的临床分析

目的　探讨疤痕子宫孕妇中期妊娠引产的安全性。方法　疤痕组 11例 ,采用口服米非司酮 2 5mg每日 2次 (总量 15 0mg) ,服药第 2d利凡诺羊膜腔内注射 10 0mg。正常同期引产 2 0例做对照组。 结果　两组中期妊娠引产的病人用药至宫缩开始的时间差异无显著意义 (P >0 0 5 ) ,疤痕组在分娩、引产的出血量、并发症等方面与正常的中期妊娠引产相比较 ,其差异无显著意义 (P >0 0 5 )。结论　即便是疤痕子宫的孕妇 ,再次妊娠而不能生育时也可以安全地进行中期妊娠引产。

A clinical analysis of induced abortion in women with scarred uterus in second trimester pregngncy

Objective To assess the safety of induced abortion for second trimester pregnancy in patients with a history of cesarean section.Methods All patients were assigned 25mg of oral mifepristone every 8 hours and received total dosage of 150mg of the drug.We injected 100mg rivanol by amniocentestis on the second day of having the medicine.31 women who had a second trimester termination of pregnancy were recruited,including 11 cases having scarred uterus and 20 cases having normal uterus.Results The interval of having-medicine to uterine-constraction had no significant difference between the two groups(P>0.05),the volume of bleeding and other complications in the previous cesarean section group was not significantly different from that of the control(P<0.05).Conclusion Induced abortion in those women with scarred uterus in second trimester pregnancy is safe and effective.