2种不同方式终止瘢痕子宫中期妊娠临床效果比较

目的: 探讨终止瘢痕子宫再次中期妊娠的方式.方法: 选择瘢痕子宫妊娠98例,随机分为对照组和观察组,各49例.对照组孕妇采用依沙吖啶羊膜腔内注射引产;观察组采用米非司酮治疗和羊膜腔内注射依沙吖啶终止瘢痕子宫妊娠,观察2组孕妇终止妊娠的临床效果.结果: 观察组引产时间、软产道损伤和胎盘胎膜残留均少于对照组(P< 0.05～P< 0.01).结论: 米非司酮配合羊膜腔内注射依沙吖啶终止瘢痕子宫妊娠具有较可靠的临床效果,且手术方式简单,明显降低对患者的损伤.

Comparsion of two kinds of different ways in terminating pregnancy of patients with scar uterus

Objective: To investigate the termination way of pregnancy again in patients with scar uterine.Methods: The data of 98 pregnancy women with scar uterine were retrospectively analyzed,all cases were randomly divided into the control group(49 cases) and observation group(49 cases).The observation group and control group were treated with mifepristone combined with injecting rivanol into amniotic cavity and only injecting rivanol into amniotic cavity for odinopoeia,respectively.The clinical effects of terminating pregnancy in pregnancy women with scar uterine in two groups were observed.Results: The odinopoeia time,soft birth canal injury and placental membrane residues in observation group were less than those in control group(P< 0.05 to P< 0.01).Conclusions: The effects of the mifepristone combined with injecting rivanol into amniotic cavity in the termination of pregnancy are good,the operation method is simple,and its injury is little.