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目的探讨少量宫内妊娠物残留的药物治疗效果,降低清宫术率。方法采用药物刮宫配伍新生化颗粒治疗流产后宫内妊娠物少量残留。对药物刮宫配伍新生化颗粒组49例与传统清宫术组41例的疗效进行比较。结果药物治疗组阴道流血停止时间为(5.3±2.4)d,与清宫术组比较差异无统计学意义(P>0.05)。药物治疗组:服药后7 d内44例(89.8%)自然完全排出;2例(4.1%)因阴道出血多而行清宫术,3例(6.1%)7 d后复查彩超示宫内仍有残留物而行清宫术。清宫术组:39例(95.1%)一次清宫完全,2例(4.9%)首次清宫术后7 d复查彩超提示宫内仍有残留物行宫腔镜下清宫术。两者治愈率比较差异无统计学意义(P>0.05)。结论药物刮宫配合新生化颗粒治疗少量宫内妊娠物残留是一种简单、有效、创伤小、费用低的方法,有利于降低清宫术率,易被广大患者所接受,值得临床推广。
Objective To investigate the effect of drug treatment on a small amount of intrauterine pregnancy to reduce the curettage rate. Methods Drug curettage combined with new biochemical particles in treatment of uterine pregnancy after abortion a small amount of residual. 49 cases of drug curettage compatibility of new biochemical particles group and traditional curettage group of 41 cases were compared. Results The vaginal bleeding time of the drug-treated group was (5.3 ± 2.4) days, with no significant difference compared with that of the curettage group (P> 0.05). In the medication group, 44 cases (89.8%) were completely excreted spontaneously within 7 days after taking the medication; 2 cases (4.1%) had the curettage due to multiple vaginal bleeding, 3 cases (6.1%) were examined after 7 days, Residues and curettage. In the curettage group, 39 cases (95.1%) had a complete curettage and 2 cases (4.9%) had a clear curettage on the 7th day after the first curettage. There was no significant difference between the two cure rates (P> 0.05). Conclusion Drug curettage combined with neo-biochemical particles treatment of a small amount of intrauterine pregnancy residual is a simple, effective, less trauma, low cost method is conducive to reducing the curettage rate, easy to be accepted by the majority of patients, is worthy of clinical promotion.