B超监测配合去氧孕烯炔雌醇片治疗瘢痕子宫药物流产宫内残留疗效  

Curative effect of B-ultrasound monitoring combined with desogestrel and estradiol tablet for treating intrauterine residue of patients with scar uterus

作　　者：苑小莉 茹晓南 施文婷 YUAN Xiaoli;RU Xiaonan;SHI Wenting(The First Affiliated Hospital of Hebei North University,Zhangjiakou,Hebei Province,075000)

机构地区：[1]河北北方学院附属第一医院,张家口075000

出　　处：《中国计划生育学杂志》2022年第6期1254-1257,共4页Chinese Journal of Family Planning

摘　　要：目的:探究B超监测配合去氧孕烯炔雌醇片治疗瘢痕子宫药物流产宫内残留效果。方法:选择2018年5月—2020年5月本院治疗的瘢痕子宫药物流产不全后宫内残留126例,随机数表法分成观察组和对照组各63例,对照组益母草治疗并采用B超监测随访,观察组在对照组基础上采用去氧孕烯炔雌醇片治疗,比较两组治疗后阴道流血时间、妊娠残留物排除时间,子宫体积及子宫内膜厚度变化,月经来潮情况。结果:治疗后,观察组治愈率(88.9%)高于对照组(74.6%),阴道流血时间(5.7±1.1d)、妊娠残留物排除时间(4.7±2.1 d)均短于对照组(8.7±1.5d、6.3±2.5 d)(P<0.05);两组子宫体积及子宫内膜厚度均低于治疗前,且观察组(145.39±38.31 cm^(3)、0.89±0.28 cm)低于对照组(164.81±40.54cm^(3)、1.42±0.33cm)(P<0.05);两组月经周期均较治疗前延长,经期、经量均减少,且观察组变化幅度大于对照组(P<0.05)。结论:采用B超监测配合去氧孕烯炔雌醇片治疗瘢痕子宫药物流产宫内残留,能够有效止血并促进妊娠残留物排除,有效控制子宫内膜厚度,恢复规律月经周期,利于子宫恢复。Objective:To explore the curative effect of B-ultrasound monitoring combined with desogestrel and estradiol tablet for treating intrauterine residue of patients with scar uterus after incomplete abortion.Methods:A total of 126 patients with intrauterine residue and scar uterus after incomplete abortion were selected and were divided into two groups(63 cases in each group)by random number table method from May 2018 to May 2020.The patients in the control group were treated by Motherwort combined with the follow up by B-ultrasound monitoring,while the patients in the observation group were treated with desogestrel and estradiol tablet combined with the follow up by B-ultrasound monitoring.The vaginal bleeding time,the removal time of intrauterine pregnancy residue,the changes of the uterine volume and the endometrial thickness,and the situation of menstrual recovery of the patients before and after treatment was compared between the two groups.Results:After treatment,the cure rate(88.9%)of the patients in the observation group was significantly higher than that(74.6%)of the patients in the control group,the vaginal bleeding time(5.7±1.1 d)and the removal time of intrauterine pregnancy residue(4.7±2.1 d)of the patients in the observation group were significantly shorter than those(8.7±1.5 d and 6.3±2.5 d)of the patients in the control group(P<0.05).The uterine volume and the endometrial thickness of the patients in both groups had decreased significantly after treatment,and which(145.39±38.31 cm^(3) and 0.89±0.28 cm)of the patients in the observation group were significantly lower than those(164.81±40.54 cm^(3) and 1.42±0.33 cm)of the patients in the control group(P<0.05).The time of the menstruation interval of the patients in both groups had increased significantly after treatment,and the menstrual period time and the menstrual volume of the patients in both groups had decreased significantly after treatment,and the change ranges of which of the patients in the observation group were significantly more tha

关 键 词：瘢痕子宫 药物流产宫内残留 B超监测 去氧孕烯炔雌醇片 术后恢复 

分 类 号：R169.42[医药卫生—公共卫生与预防医学]