水囊引产术在瘢痕子宫妊娠中晚期引产的应用研究  

Application research of inducing abortion by water bag in the middle and late stage of uterine scar pregnancy

作　　者：韦春杏 李小芬 

机构地区：[1]深圳广东龙岗区妇幼保健院妇产科,518000

出　　处：《中国计划生育和妇产科》2018年第1期60-62,共3页Chinese Journal of Family Planning & Gynecotokology

摘　　要：目的探讨水囊引产术在瘢痕子宫妊娠中晚期引产中的应用价值。方法选择2013年1月至2017年5月在深圳市龙岗区妇幼保健院接受水囊引产术的患者224例为研究对象,根据是否为瘢痕子宫分组,瘢痕子宫96例为观察组,非瘢痕子宫128例为对照组,对两组引产情况及安全性进行分析。结果观察组引产时间及住院时间、产后24 h出血量与对照组相比,差异无统计学意义(P>0.05);观察组引产成功率为97.92%,产后清宫率为14.58%,软产道损伤率为4.17%,与对照组98.44%、12.50%、6.25%比较,差异无统计学意义(P>0.05);两组引产并发症发生率比较,差异无统计学意义(P>0.05)。结论在瘢痕子宫妊娠中晚期引产中应用水囊引产术具有可行性,不影响引产成功率,也不增加引产并发症风险,值得临床推广。Objective To investigate the application value of inducing abortion by water bag in the middle and late stage of uterine scar pregnancy. Methods 224 cases of patients underwent inducing abortion by water bag in Longgang Women and Children Health Care Hospital from January 2013 to May 2017 were selected as the research objects. They were divided into the observation group（96 cases with uterine scar） and the control group（ 128 cases without uterine scar） according to whether or not with uterine scar. The induction of labor and safety of the two groups were analyzed. Results There were no significant differences in the time of induction of labor,the length of hospital stay and the amount of postpartum hemorrhage of 24 hours between the observation group and the control group（ P 〉 0. 05 ）. The success rate, the rate of postpartum uterine curettage and soft birth canal damage in the observation group were 97. 92 % , 14. 58 % and 4. 17 % respectively, and compared with 98. 44 % , 12. 50 % and 6. 25 % in the control group, the differences were not statistically significant （ P 〉 0. 05 ）. There was no significant difference in incidence of complications of induction of labor between the observation group and the control group （ P 〉 0.05 ）. Conclusion It is feasible to use the water bag induced abortion in the middle and late stage of pregnancy with scar uterus, which does not affect the success rate of induced labor, nor increase the risk of complications of induction of labor. This method is worthy of clinical promotion.

关 键 词：瘢痕子宫 妊娠中晚期 引产 水囊引产术 

分 类 号：R719.3[医药卫生—妇产科学]