宫腔镜联合米非司酮治疗难治性宫内妊娠物残留的临床观察  

Clinical observation of hysteroscopy combined with mifepristone in the treatment of refractory intrauterine pregnancy residues

作　　者：韦艳芬[1] 陆庆春[1] 农文政[1] 

机构地区：[1]广西壮族自治区民族医院妇产科,广西南宁530001

出　　处：《华夏医学》2015年第2期59-62,共4页Acta Medicinae Sinica

摘　　要：目的:探讨宫腔镜联合米非司酮治疗难治性宫内妊娠物残留的临床疗效。方法:将难治性宫内妊娠物残留患者120例随机分成两组,观察组60例,对照组60例。观察组行宫腔镜联合米非司酮治疗,对照组行传统清宫术治疗,比较两组疗效。结果:术中子宫穿孔、术后阴道流血时间、月经复潮时间、需再次清宫、月经减少、宫腔粘连、血HCG恢复正常时间等情况,两组比较差异均有统计学意义(P<0.05)。结论:宫腔镜联合米非司酮治疗难治性宫内妊娠物残留具有微创、安全、有效等优点,优于传统的清宫术治疗。Objective：To investigate the clinical efficacy of hysteroscopy combined with mifepristone in the treatment of refractory intrauterine pregnancy residues.Methods：The refractory intrauterine pregnancy residues of 120 patients were randomize into 2groups,60 patients in the observation group and 60 in the control group.The observation group received hysteroscopy combined with mifepristone in the treatment,while the control group underwent conventional curettage.The uterine perforation during operation,the postoperative vaginal bleeding time,the postoperative return time of menstruation,the need to undergo curettage again,the reduce of menstruation,uterine cavity adhesion and the time for blood HCG restoring to normal were observed.Results：The abovementioned indexes in both groups were compared,which were of statistical differences（P〈0.05）.Conclusion：Hysteroscopy combined with mifepristone in the treatment of refractory intrauterine pregnancy residues has the advantages of minimally invasiveness,safeness,effectiveness,which is superior to the conventional curettage.

关 键 词：宫腔镜 米非司酮 宫内妊娠物残留 

分 类 号：R169.42[医药卫生—公共卫生与预防医学]