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目的:观察米索前列醇联合利多卡因在疤痕子宫人工流产术中的临床应用效果。方法:选择剖宫产术后半年后早孕妇,自愿要求人工流产妊娠的102例健康孕妇,随机分为观察组51例,对照组51例,术前1h阴道应用米索前列醇,常规消毒后,用1%利多卡因分别在宫颈3点、9点处各注射2.5mL,1min后行人工流产,对照组不做任何处理,两组手术方法相同。结果:观察组无痛率明显高于对照组,无人流综合征发生,宫口松弛程度、手术时间两组比较,差异有统计学意义(P<0.05);出血量、术后出血时间两组比较无统计学意义(P>0.05)。结论:疤痕子宫人工流产术中使用米索前列醇联合利多卡因麻醉效果明显,具有操作简单、费用低廉、安全、有效、并发症少等特点,值得临床推广。
Objective: To observe the clinical effect of misoprostol combined with lidocaine in the treatment of scar-induced uterine abortion. Methods: A total of 102 healthy pregnant women who volunteered for abortion after early cesarean section were randomly divided into observation group (n = 51) and control group (n = 51). Misoprostol was applied vaginally , With 1% lidocaine in the cervix at 3 o’clock, 9 o’clock at the injection of 2.5mL, 1min after abortion, the control group without any treatment, the same two surgical methods. Results: The painless rate in the observation group was significantly higher than that in the control group. There was no significant difference in the incidence of bleeding syndrome, relaxation of the cervix and the operation time between the two groups (P <0.05) Compared with no statistical significance (P> 0.05). Conclusion: The effect of using misoprostol combined with lidocaine in abortion of scar uterus is obvious. It has the advantages of simple operation, low cost, safe, effective and less complications, which is worthy of clinical promotion.