药物流产终止早孕失败的原因及处理

目的:探讨药物流产终止早孕失败的原因及处理方法。方法:对行药物流产的4 020例早孕妇女进行观察随访。结果:4 020例中,药物流产失败490例,失败率为12.19%,其中妊娠囊未排出者66例,有妊娠囊排出但蜕膜残留者424例,蜕膜残留者中选140例残留面积<2 cm2的行药物性刮宫,成功者136例,其余均行清宫术。结论:药物流产失败与既往有妊娠分娩史、妊娠囊直径、停经时间和子宫位置有密切关系。安宫黄体酮治疗蜕膜残留有效。

Reason and management for the failed early pregnancy termination induced by medical abortion

Objective To explore the Reason and management methods for the failed early pregnancy termination induced by medical abortion.Methods 4 020 cases of early pregnant women were involved in this study and followed up who accepted medical abortion in the outpatient department.Results Among the 4 020 medical abortion cases,490 cases failed,with a failure rate of 12.19%,in which 66 cases had nondischarged gestational sac,and 424 cases had discharged gestational sac but remaining decidual.In the decidual remaining cases,140 cases of residual area<2 cm2 underwent drug curettage,successfully in 136 cases,all the rest accepted uterine curettage.Conclusion Failed medical abortion and previous pregnancy history,gestational sac diameter,there is a close relationship between menopause and position of uterus.Medroxyprogesterone decidual residue effectively.