214例利凡诺中期引产后宫腔残留状况分析  

Evaluate the RPOC of 214 cases after termination of second trimester pregnancy by Rivanol

作　　者：刘朝晖 门晓亮[1] 赵卫卫 吕晓琳 赵丽萍[1] 李佳 尹淑红[3] Liu Zhaohui;Men Xiaoliang;Zhao Weiwei;Lv Xiaolin;Zhao Liping;Li Jia;Tin Shuhong(Department of Women's Health,Daxing Maternal and Child Health Hospital,Beijing 102600,China;Medical Records Department,Daxing Maternal and Child Health Hospital,Beijing 102600,China;Ultrasonography Department,Daxing Maternal and Child Health Hospital,Beijing 102600,China)

机构地区：[1]北京市大兴区妇幼保健院妇女保健部,北京102600 [2]北京市大兴区妇幼保健院病案科,北京102600 [3]北京市大兴区妇幼保健院超声科,北京102600

出　　处：《实用妇科内分泌电子杂志》2022年第5期4-8,共5页Electronic Journal of Practical Gynecological Endocrinology

基　　金：北京市大兴区妇幼保健院院级课题(编号2020005)。

摘　　要：目的通过分析利凡诺(依沙吖啶)羊膜腔内注射中期妊娠引产后宫腔妊娠组织物残留状况,评估避免产后常规刮宫,开展药物保守治疗的可行性。方法回顾性分析214例行利凡诺羊膜腔内注射中期妊娠引产术患者的临床资料,根据产后36-48 h经阴道超声结果显示宫腔残留经线,分为A组(<1 cm)、B组(1~2.5 cm)、C组(>2.5 cm),分析各组占比、回声特点及血流存在情况,比较组间基本信息(年龄、孕产次、婚姻状况、孕周、引产原因、剖宫产史、低置胎盘率、流产史)及引产时间(宫缩发动时间、胎儿排出时间、总产程时间、第三产程时间)是否有差异。结果阴道彩色多普勒超声示各经线宫腔残留占比率:A组、B组、C组分别为22例(10.3%)、152例(71.0%)、40例(18.7%),B组有99例残留经线在1~1.5 cm;回声特点以偏强为主;伴有血流占比率:A组、B组、C组分别为13.6%、30.3%、35.0%;各组患者基本信息及引产时间等指标差异均无统计学意义(P>0.05)。结论利凡诺羊膜腔内注射中期妊娠引产后宫腔妊娠组织物残留以中小经线为主,伴血流信号者占少数,存在开展药物保守治疗的可行性,应避免常规产后刮宫术。Objective Analyzing the retained products of conception in second trimester pregnancy after induction of labor by intra amniotic injection of rivanol(ethacridine),to evaluate the feasibility of avoiding curettage and carrying out drug treatment.Methods The clinical data of 214 patients with second trimester pregnancy induced labor by intra amniotic injection of rivanol were analyzed retrospectively.According to the results of transvaginal ultrasound at 36~48 hours postpartum,they were divided into group A(<1 cm),group B(1~2.5 cm)and group C(>2.5 cm).The proportion,echo characteristics and blood flow of each group were analyzed,The basic information(age,times of pregnancy and childbirth,marital status,gestational weeks,causes of induced labor,history of cesarean section,low placental rate,history of abortion)and the time of induced labor(time of uterine contraction,time of fetal discharge,time of total labor process,time of the third labor process)were compared.Results Vaginal color Doppler ultrasound showed that the proportion of residual meridian in uterine cavity:22 cases(10.3%),152 cases(71.0%)and 40 cases(18.7%)in group A,group B and group C respectively.99 cases in group B had residual meridian in 1~1.5 cm;The echo is mainly strong;The proportion of blood flow in group A,group B and group C were 13.6%,30.3% and 35.0%respectively;There was no significant difference in basic information and induced labor time among the groups(P>0.05).Conclusion The RPOC is mainly small after termination of second trimester pregnancy by Rivanol,and a few are accompanied by blood flow signals.It is feasible to carry out drug conservative treatment,and routine postpartum curettage should be avoided.

关 键 词：利凡诺 中期引产 宫腔残留 刮宫术 药物治疗 

分 类 号：R719.3[医药卫生—妇产科学]