【摘要】 目的 :探讨瘢痕子宫早孕终止妊娠的方法及效果。方法 :对 2 0 8例瘢痕子宫早孕随机分成 3组 :人流组 :采用常用的负压吸引的方法终止妊娠。药流组 :口服米非司酮 5 0mg +舌下含服甲基睾丸素 5mg ,q12h ,共 2d ,第 3天早晨口服米索 6 0 0mg。药物 +吸宫组 :口服米非司酮 5 0mg +舌下含服甲基睾丸素 5mg ,q12h ,共 2d ,第 3天早晨口服米索 6 0 0mg ,在胚囊排出同时行吸宫术 ,或口服米索 6 0 0mg后出现阴道流血并增多 ,或口服米索 6 0 0mg 6h胚囊仍未排出 ,直接行吸宫术。结果 :药物 +吸宫组其失败率、不全流产率、出血量、感染率与正常对照组无明显差异 (p >0 .0 5 ) ,人流组、药流组则均有显著差异 (p <0 .0 5 )。结论:药物 +吸宫术可能是终止瘢痕子宫早孕较为理想的方法。更多还原

【Abstract】 Objective:To find a solution to termina te e arly pregnancy of primary cesarean and its effects. Methods: 208 cases of early pregnancy of primary cesarean were randomly divided into 3 g roups. They were induced abortion group, medical abortion group and medicine plu s extraction operation abortion group. In the induced abortion group, negative p ressure extraction was commonly adopted to terminate early pregnancy. In the med ical abortion group, pregnant women orally took mifepristone tablets of 50mg and sublingually took methyltestosterone tablets of 5mg every 12 hours for two days . On the third morning, the pregnant women orally took misoprostol tablets of 60 0mg. In the medicine plus extraction operation abortion group, they orally took mifepristone tablets and sublingually took methyltestosterone tablets of 5mg eve ry 12 hours for two days. On the third morning, the pregnant women orally took m isoprostol tablets of 600mg. Extraction operations were simultaneously performed when the blastocysts were discharged. Their vaginas were bleeding and the amoun t of blood increased after some of them orally took misoprostol tablets of 600mg . Extraction operations were performed when the blastocysts were not discharged after some of them orally took misoprostol tablets of 600mg for 6 hours. Results: There was no significant difference between the failure r a tios, incomplete abortion ratios, bleeding amount, and infection ratios of the m edicine plus extraction operation abortion group and those of the controls (P >0.05). However, There was significant difference between the failure ratios, incomplete abortion ratios, bleeding amount, and infection ratios of the induced abortion group and those of the controls, or between the medical abortion group and those of the controls. Conclusion:Medicine plus extract io n operation might be an ideal solution to terminate early pregnancy of primary c esarean.更多还原