3种方案用于瘢痕子宫中期妊娠引产临床效果比较  

Clinical effect of three schemes for termination of second trimester of pregnancy in women with scar uterus

作　　者：韩慧娟 薛云琴 史魁风 张菊苏 HAN Huijuan;XUE Yunqin;SHI Kuifeng;ZHANG Jusu(The First People's Hospital of Wu 'an, Hebei Province, 056300)

机构地区：[1]河北省武安市第一人民医院,056300

出　　处：《中国计划生育学杂志》2021年第9期1811-1814,共4页Chinese Journal of Family Planning

基　　金：河北省2020年度医学科学研究课题(20201559)。

摘　　要：目的:探讨3种方案用于瘢痕子宫中期妊娠引产的临床效果。方法:选择2015年5月—2020年5月本院收治的瘢痕子宫中期妊娠引产患者99例,随机数字表法分成3组,A组(33例)给予米非司酮+利凡诺方案引产,B组(33例)给予利凡诺+子宫颈扩张球囊方案引产,C组(33例)给予米非司酮+利凡诺+子宫颈扩张球囊方案引产。比较不同方案引产效果及并发症。结果:宫缩发动时间、总产程、产后2h出血量、引产出血量均C组最低、B组次之、A组最高,C组完全引产率(54.6%)高于A组(24.2%),不完全引产率(3.0%)低于A组(6.1%),胎盘残留率(6.1%)低于A组(30.3%)(均P<0.05)。结论:利凡诺+米非司酮+子宫颈扩张球囊方案用于瘢痕子宫中期妊娠引产,能提高引产效果、引产成功率且并发症少。Objective:To study the clinical effect of combination of three schemes for labor induction of women with scar uterus during the second trimester of pregnancy.Methods:99 women with scar uterus who wanted labor induction during the second trimester of pregnancy were divided into three groups according to the random number table between May 2016 and May 2020.33 women in group A were given ethacridine combined with mifepristone,33 women in group B were given ethacridine combined with cervical dilatation balloon,and 33 women in group C were given ethacridine combined with mifepristone and cervical dilatation.The evaluation index of labor induction effect,labor induction success rate,and complications rate of the women were compared among the three groups.Results:The onset time of uterine contraction,the total labor process,the 2h postpartum blood loss,and the blood loss in labor induction of the women in group C were the lowest,followed by those of the women in group B,and those of the women in group A were the highest.The complete labor induction rate(54.6%)of the women in group C was significant higher than that(24.2%)of the women in group A,and the incomplete labor induction rate(3.0%)of the women in group C was significant lower than that(6.1%)of the women in group A.The residual rate of placenta(6.1%)of the women in group C was significant lower than that(30.3%)of the women in group A(all P<0.05).Conclusion:Ethacridine and mifepristone combined with cervical dilatation for labor induction during the second trimester of pregnancy of the women with scar uterus can improve their labor induction outcomes and success rates with fewer complications.

关 键 词：中期妊娠引产 瘢痕子宫 利凡诺 米非司酮 子宫颈扩张球囊 临床效果 

分 类 号：R71[医药卫生—妇产科学]