米索前列醇联合刮宫术治疗稽留流产的临床效果  

Clinical effect of misoprostol combined with uterine curettage in the treatment of missed abortion

作　　者：杨芬红[1,2] 李学文[1,2] 

机构地区：[1]深圳市宝安区沙井人民医院 [2]广州医学院附属医院妇科,深圳518104

出　　处：《中国当代医药》2015年第6期81-82,85,共3页China Modern Medicine

摘　　要：目的探讨米索前列醇联合刮宫术治疗稽留流产的临床效果。方法选择本院2013年1~12月收治的120例稽留流产患者为研究对象,根据随机数字表法将患者分为两组,各60例。对照组患者行刮宫术,观察组患者行米索前列醇＋刮宫术,比较两组的宫颈扩张效果、流产结果及不良反应等情况。结果观察组的宫颈扩张有效率、完全流产率、不良反应发生率分别为100.00%、96.67%、5.00%,与对照组的85.00%、70.00%、21.67%比较,差异有统计学意义（P〈0.01）;两组的手术时间、术中出血量比较,差异有统计学意义（P〈0.01）。结论米索前列醇联合刮宫术治疗稽留流产的效果明显,完全流产率高,不良反应少,值得临床推广。Objective To explore the clinical effect of misoprostol combined with uterine curettage in the treatment of missed abortion. Methods 120 patients with missed abortion admitted into our hospital from January 2013 to December2013 were selected as research objects and they were randomly divided into the two groups according to the random number table method,and there were 60 cases in each group.The control group was given the uterine curettage,while the observation group was given misoprostol combined with uterine curettage,the effect of cervical dilatation,outcome of abortion,and adverse reaction in the two groups were compared. Results The effective rate of cervical dilatation,complete abortion rate, and incidence rate of adverse reaction was 100.00%,96.67%,and 5.00% respectively in the observation group,while in the control group,it was 85.00%,70.00%,and 21.67% in turn,which displayed statistical difference（P〈0.01）.There was a statistical difference of the operation time and intraoperative amount of bleeding in the two groups（P〈0.01）. Conclusion Misoprostol combined with uterine curettage in the treatment of missed abortion obtains obvious effect with higher complete abortion rate and few adverse reaction,which is worthy of clinical expansion.

关 键 词：稽留流产 米索前列醇 刮宫术 不良反应 

分 类 号：R714.21[医药卫生—妇产科学]