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目的探讨适合瘢痕子宫早孕患者的安全、有效、缓解痛苦的流产方法。方法将112例瘢痕子宫早孕要求终止妊娠的患者随机分为对照组与实验组,对照组53例采用直接人工流产术终止妊娠,实验组59例采用药物流产联合曲马多镇痛下负压吸宫术终止妊娠,比较两组患者疼痛程度、宫颈松弛度、人流综合征、子宫穿孔的发生率。结果两组患者在疼痛程度、宫颈松弛度及人流综合征的发生率方面比较差异均有显著统计学意义(P<0.01),实验组优于对照组,两组患者均无出现子宫穿孔。结论药物流产联合曲马多镇痛下负压吸宫术用于终止瘢痕子宫早孕安全、有效,疼痛轻微,患者乐于接受。
Objective To explore a safe, effective and painful abortion method for early pregnant women with uterine scar. Methods One hundred and twelve cases of uterine scar pregnancy requiring termination of pregnancy were randomly divided into control group and experimental group. In the control group, 53 cases were terminated by direct abortion. In the experimental group, 59 cases were treated with abortion with tramadol Palace termination of pregnancy, the two groups were compared the degree of pain, cervical relaxation, flow syndrome, the incidence of uterine perforation. Results There was significant difference between the two groups in the incidence of pain, cervix laxity and the incidence of flow syndrome (P <0.01). The experimental group was superior to the control group. No uterine perforation occurred in both groups. Conclusions Medical abortion combined with tramadol analgesia under suction aspiration for termination of early uterine scar pregnancy is safe, effective, mild pain, patients are willing to accept.