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目的:探讨临床上对于女性在药物终止妊娠后阴道持续流血的处理方式以及临床疗效,为药流阴道流血的治疗提供理论参考依据。方法:对我院收治的80例采用药物终止妊娠方式,绒毛从体内排出半个月后仍一直存在阴道流血现象的妇女临床资料进行回顾性分析。对上述女性患者进行妇科超声检查、子宫内清除组织的常规性病理学检查、血液β-hCG测定以及其他妇科检查。对上述患者按照不同指症分为A、B、C、D组,比较两种处理方式的异同。结果:采用保守方法治疗后,B组阴道出血量以及阴道流血时间显著低于A组(P<0.05);采用清宫手术治疗后,D组阴道出血量以及阴道流血时间与C组无显著差异(P>0.05)。结论:当采取药物终止妊娠患者绒毛排除后半个月还是流血不止,且超声检查结果与病理学检查结果以及β-hCG测定结果均显示不正常时可以考虑清宫手术。
Objective: To investigate the clinical treatment of female vaginal bleeding after termination of pregnancy and clinical efficacy, provide a theoretical reference for the treatment of vaginal bleeding. Methods: A retrospective analysis was performed on the clinical data of 80 women admitted to our hospital who took medicine termination of pregnancy and who had been experiencing vaginal bleeding after being excreted for half a month from the body. Gynecological ultrasound examination of the above-mentioned female patients, routine pathological examination of uterine tissue removal, blood β-hCG determination and other gynecological examination. The above patients according to different indications are divided into A, B, C, D group, comparing the similarities and differences between the two treatment methods. Results: After conservative treatment, vaginal bleeding volume and vaginal bleeding time in group B were significantly lower than those in group A (P <0.05). After the operation of Qing Gong, vaginal bleeding volume and vaginal bleeding time in group D were not significantly different from those in group C P> 0.05). CONCLUSIONS: Surgery may be considered when bleeding is more than half a month after villus exclusion in patients taking the drug is terminated, and ultrasonography, pathology, and β-hCG measurements are all abnormal.