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目的探讨临床治疗稽留流产的有效方案。方法 105例稽留流产患者根据治疗方案被分为观察组59例与对照组46例,前者接受米非司酮(MFP)配伍米索前列醇(Miso)联合清宫术三联疗法治疗,后者接受乙烯雌酚(DES)联合清宫术二联疗法治疗。结果观察组手术时间、术中出血量低于对照组(P<0.05);一次清宫成功率高于对照组,人工流产综合征发生率显著低于对照组;宫颈软化及扩张效果总有效率、镇痛总有效率高于对照组(P<0.05)。结论 MFP配伍Miso联合清宫术三联疗法治疗稽留流产疗效确切,值得临床应用
Objective To investigate the effective treatment of missed abortion in clinical practice. Methods One hundred and fifty cases of missed abortion patients were divided into observation group (n = 59) and control group (n = 46) according to the treatment regimen. The former was treated with mifepristone (MFP) combined with Miso and cesarean section triple therapy, Estrogen (DES) combined with curettage two combined therapy. Results The operation time and intraoperative blood loss in the observation group were lower than those in the control group (P <0.05). The success rate of one-step curettage was higher than that of the control group, and the incidence of induced abortion syndrome was significantly lower than that of the control group. The total effective rate of cervical softening and dilation effect, The total effective rate of analgesia was higher than that of the control group (P <0.05). Conclusion MFP compatibility Miso combined curettage triple therapy for abortion abortion curative effect is worthy of clinical application