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目的探讨终止剖腹产术后瘢痕子宫早孕的处理方法。方法收治剖宫产术后早孕要求终止妊娠患者89例资料,除外2例瘢痕处妊娠,按是否药物流产分为2组,即瘢痕子宫人流组、瘢痕子宫药流组;另选取同期正常子宫早孕要求终止妊娠114例作对照。观察2组围终止妊娠期指标和月经恢复时间。结果瘢痕子宫人流与正常子宫人流相比手术时间明显较长、手术出血量较多(P<0.05),术后出血时间、月经恢复时间比较差异无统计学意义(P>0.05);药流2组完全流产率、胎囊排出时间、阴道出血量、月经复潮时间比较差异无统计学意义(P>0.05)。结论剖宫产术后瘢痕子宫终止妊娠人流为高危手术,风险大;药物流产安全,具有一定可行性。
Objective To investigate the treatment of scar pregnancy and uterus after termination of caesarean section. Methods 89 cases of termination of pregnancy after cesarean section of early pregnancy requiring pregnancy, except 2 cases of pregnancy at the scar, according to whether the drug abortion is divided into two groups, namely, scar uterine flow group, scar uterine drug flow group; 114 cases of termination of pregnancy as a control. Two groups of peripheral pregnancy termination index and menstruation recovery time were observed. Results Compared with normal human uterus, scar flow had significantly longer operative time and more bleeding during operation (P <0.05). There was no significant difference in postoperative bleeding time and menstruation recovery time between two groups (P> 0.05) There was no significant difference in the complete abortion rate, the time of discharging the fetal sac, the volume of vaginal bleeding and the time of menstrual resuscitation (P> 0.05). Conclusion The cesarean section scar pregnancy uterine termination of pregnancy is a high-risk surgery, the risk is high; drug abortion safe, with a certain feasibility.