疤痕子宫再次妊娠早期终止方法探讨

目的探讨疤痕子宫再次妊娠早孕终止的最佳方法。方法回顾性分析2012年1月—6月就诊于深圳市第二人民医院妇产科门诊的140例自愿要求终止妊娠的疤痕子宫再次妊娠早期患者(孕周≤7周资料),其中药流61例,B超引导下负压吸宫术79例。结果药流患者术后并发症较吸宫术组少,二者比较差异有统计学意义(P<0.05),尽管药流患者阴道出血时间长和阴道出血量多所占比例高于吸宫术组,但二者差异无统计学意义(P>0.05)。对药流成功者与失败者进行组间比较后发现,其并发症的发生率差异有统计学意义(P<0.05)。结论药流成功与否是决定其在发生并发症的比例上是否较吸宫术者具有优势的因素。应根据具体情况及孕妇意见选择终止妊娠的方式。

Exploring early pregnancy termination method for scar uterus

Objective To explore the best early pregnancy termination method for scar uterus.Methods An analysis was made of the 140 outpatients who got pregnancy(≤7 weeks) after caesarean section between January and July,2012,in the Department of Obstetrics and Gynecology of our hospital.These included 61 patients who received drug abortion and 79 received negative pressure uterus aspiration under B ultrasound-guided.Results Patients who received drug abortion had less complications and the results showed significant difference(P<0.05).Although the proportion of patients who received drug abortion was higher in amount of vaginal bleeding and longer time of vaginal bleeding than those received uterus aspiration,and the difference was not significant(P>0.05).In comparison with the drug abortion group,the incidence rate of complication showed significant difference(P<0.05) between those who succeeded and failed.Conclusion The success of drug abortion is a decisive factor in that it has advantage over negative pressure uterus aspiration.Clinical treatment of early pregnancy termination for scar uterus should be determined based on the real situation and the opinion of pregnancy.