稽留流产钳刮术前口服米索前列醇的临床观察  

The clinical study of taking misoprostol orally before forcep curettage in missed abortion patients

作　　者：杨越红[1] 林建[1] 陈雪梅[1] 

机构地区：[1]茂名市人民医院,广东茂名525000

出　　处：《基层医学论坛》2005年第7期591-592,共2页The Medical Forum

摘　　要：目的观察口服米索前列醇6小时后行钳刮术治疗稽留流产的临床疗效。方法选择1999年6月￣2003年6月我院收治的稽留流产患者69例为观察组,随机抽取1995年1月￣1999年5月收治的稽留流产患者65例为对照组,两组均为未产妇,年龄、孕次、孕周无差异。观察组术前6小时口服米索前列醇600μg,对照组钳刮术前12小时以上置18号导尿管至宫颈,观察两组术中宫颈松弛程度、出血量、手术时间及人流综合征发生情况,术后14天内恢复情况。结果两组在宫颈松弛程度、人流综合征、出血量、手术时间、术后阴道出血停止时间等方面有显著性差异。结论钳刮术前口服米索前列醇处理稽留流产是一种简便、安全、有效的宫颈扩张法。Objective To study the effect of misoprostol taken orally 6 hours before forcep curettage in missed abortion patients. Methods Sixty-nine patients diagnosed as missed abortion form June 1999 to June 2003,took 600 μg of misoprostol orally 6 hours before forcep curettage, as well as the other sixty-five similar patients, from January 1995 to May 1999, were indwelled catheter (18) in cervical canal for more than 12 hours. Both groups were nulliparas and similar in age, pregnancies, gestational weeks. The difference was estimated between them in dilatation degree of cervical canal, bleeding amount, operation time, the occurrence of artificial abortion syndrome, and resumption after operation. Results Significant difference was found between two groups in the dilatation degree of cervical canal ,the occurrence of artificial abortion syndrome,bleeding amount, operation time, vaginal bleeding time after operation. Conclusion Taking misoprostol orally for missed abortion patiens before forcep curettage is a simple?safe?effective method to dilatate cervical canal.[

关 键 词：口服米索前列醇 稽留流产 钳刮术前 临床观察 宫颈松弛程度 2003年6月 1999年 人流综合征 手术时间 1995年 显著性差异 宫颈扩张法 临床疗效 方法选择 发生情况 恢复情况 阴道出血 术前口服 观察组 对照组 出血量 未产妇 

分 类 号：R714.21[医药卫生—妇产科学]