药物流产失败相关因素分析  

Analysis of the failure of medical abortion

作　　者：王振文[1] 唐微[1] 

机构地区：[1]广东省东莞市桥头医院,523523

出　　处：《中国医学创新》2010年第17期34-35,共2页Medical Innovation of China

摘　　要：目的探讨药物流产失败的相关因素,以利于在今后终止妊娠方式的选择上提供更好的依据。方法选择笔者所在医院2003年1月～2009年1月药物流产终止妊娠的病例5968例,其中失败499例,失败率8.36%,分析失败的相关因素并加以整理。结果年龄大于35岁、子宫位置后倾后屈,多次流产、有剖宫产史、孕囊直径小于10 mm大于30 mm,胎龄小于43 d等药物流产失败率明显升高。结论药物流产成功率受妊娠次数、孕囊大小、孕妇年龄、有无剖宫产史等多种因素的影响。在药物流产病例的选择上应综合以上因素考虑,以达到最佳效果。Objective To discuss the relating factors of the failure of medical abortion in order to provide better options on the termination of pregnancy. Methods During January 2003 and January 2009, there had been 5968 pregnancy - terminating cases in the authors＇ hospital. There were 499 cases failed which lead to a total failure rate of 8.36 percent. This article will analyze the relating factors which lead to these failures. Results Those patients who have the following features have stronger chance to experience the failure of pregnancy termination ： older than 35 years, retroversion of the uterus position, recurrent abortion, with a previous history of cesarean section, with the gestational sac diameter less than 10 mm or more than 30 mm or the gestational age is less than 43 days. Conclusion The success rate of medical abortion is influenced by factors such as times of experiences with gravidity, size of gestational sac diameter, age of the patient and whether the patient has previous history of cesarean section or not, etc. Thus, the choice of medical abortion should be made after considering the above factors in order to achieve an optimal effect.

关 键 词：药物流产 流产失败 相关因素 

分 类 号：R169.42[医药卫生—公共卫生与预防医学]