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目的 探讨药物流产时不全流产经保守治疗的临床效果。方法 14 9例不全性药物流产患者随机分二组。A组为黄体酮治疗组 :肌注黄体酮和口服安宫黄体酮治疗。B组为氨甲喋呤治疗组 :肌注MTX或口服MTX治疗。观察两组疗效、成功率。结果 二组治疗成功者A组为 79 0 7%( 68/86) ;B组为 96 82 %( 61/63 )。特别是HCG定量较低者有效率较高。A组为 86 89%( 5 3 /61) ;B组为 10 0 %( 3 2 /3 2 )。两组比较差异有显著性 (P <0 0 5 )。结论 药物流产时不全流产病例 ,在阴道出血不多情况下可以予保守治疗。并且可根据HCG水平 ,选择合适的保守治疗方法
Objective To investigate the clinical effect of conservative treatment of incomplete abortion during medical abortion. Methods Fourteen nine patients with incomplete medical abortion were randomly divided into two groups. Group A is a progesterone treatment group: intramuscular injection of progesterone and oral administration of progesterone treatment. Group B was methotrexate treatment group: intramuscular MTX or oral MTX treatment. Observation of two groups efficacy, success rate. Results The success rate of the two groups was 79 0 7% (68/86) in group A and 96 82% (61/63) in group B respectively. In particular, the lower the HCG is more efficient. 86 89% (53/61) in group A and 100% (3 2/3 2) in group B. The difference between the two groups was significant (P <0 05). Conclusions Medical abortion cases of incomplete abortion, in the case of vaginal bleeding can be conservative treatment. And according to HCG level, choose the appropriate conservative treatment