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目的:探讨稽留流产临床处理的有效方法。方法:回顾性分析2007年1月～2011年6月328例稽留流产患者的临床资料,按照不同时期,选择不同处理方法分3组,A组:米索前列醇片+清宫术或负压吸引术;B组:补佳乐+米非司酮配伍米索前列醇+清宫术;C组:米非司酮配伍米索前列醇+清宫术。结果:3组流产有效率、二次清宫术比较无统计学差异(P>0.05);3组完全流产率、镇痛效果、宫颈扩张、手术时间、术中出血量、术后阴道流血时间比较差异有统计学意义(P<0.05)。结论:稽留流产妇科检查子宫均<12周,采用米非司酮配伍米索前列醇+清宫术或采用补佳乐联合米非司酮配伍米索前列醇+清宫术,都是治疗稽留流产的有效治疗方法。
Objective: To explore effective methods of clinical treatment of missed abortion. Methods: A retrospective analysis of 328 cases of missed abortion in patients with clinical data from January 2007 to June 2011, according to different periods, choose different treatment methods divided into 3 groups, A group: misoprostol film + curettage or negative pressure to attract Surgery; B group: Bujia Le + mifepristone with misoprostol + curettage; C group: mifepristone with misoprostol + curettage. Results: There was no significant difference between the two groups in the rate of abortion (P> 0.05). The abortion rate, analgesic effect, cervical dilation, operation time, intraoperative blood loss and postoperative vaginal bleeding time were compared The difference was statistically significant (P <0.05). Conclusions: Gynecological examination of uterus of missed abortion <12 weeks, the use of mifepristone combined with misoprostol + curettage or nadine plus mifepristone combined with misoprostol + curettage, are the treatment of missed abortion Effective treatment.