摘要
目的探讨宫腔镜联合米非司酮治疗宫腔胎物残留的疗效及优势。方法 49例宫内胎物残留患者随机分为治疗组(26例)和对照组(23例)。治疗组口服米非司酮后行宫腔镜下清除宫腔残留物,对照组在盲视下清宫术。观察两组手术成功率、术中出血量、术后阴道出血时间和首次月经恢复时间。结果治疗组的治愈率较对照组高(100.0%vs 73.9%,P<0.05),术中平均出血量较对照组少,术后阴道出血时间和月经复潮时间较对照组短(P<0.01)。结论宫腔镜联合米非司酮治疗宫腔胎物残留是安全、有效、可行的,值得临床推广应用。
Objective To investigate the curative effect and advantage of hysteroscopy in combination with mifepristone in the treatment of intrauterine fetal residue. Methods 49 cases with intrauterine fetal residues were randomly divided into Treatment Group（26 cases） and Control Group（23 cases）. Treatment Group was orally administered with mifepristone and then underwent uterine curettage under hysteroscopy, and Control Group underwent blind curettage. The success rate of operation, intraoperative bleeding amount, postoperative vagina bleeding time and recovery time of the first menstruation was observed for the two groups. Results Compared with Control Group, Treatment Group had a higher cure rate（100.0% vs 73.9%,P〈0.05）, less average bleeding amount in the operation, and a shorter postoperative vagina bleeding time and return time of menstruation（P〈0.01）. Conclusion The treatment of intrauterine fetal residues with hysteroscopy in combination with mifepristone is safe, effective, and feasible, and worthy of clinical application.
出处
《广东医学院学报》
2015年第2期234-236,共3页
Journal of Guangdong Medical College
关键词
宫内胎物残留
宫腔镜
清宫术
intrauterine fetal residue
hysteroscopy
uterine curettage
