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目的:分析稽留流产相关因素,以指导人工流产,提高流产管理水平。方法:2011年1月~2015年10月,医院共收治稽留流产120例,纳入病例组,另选择同期正常流产女性400例,纳入对照组,均进行详细的检查,对比相关指标。结果:病例组患者,单纯阴道流血就诊占51.67%,阴道流血伴腹痛就诊占31.67%,面唇青紫等异常面色发生率26.67%;病例组年龄低于对照组,妊娠时间、妊娠囊平均内径高于对照组,差异具有统计学意义(P<0.05);病例组宫颈支衣原体、人流史比重分别为11.67%、40.00%高于对照组2.00%、28.25%,差异具有统计学意义(P<0.05)。结论:稽留流产影响因素较多,对于高危,需采取更积极的人流策略,放宽吸引术指征,预防稽留流产。
Objective: To analyze the related factors of missed abortion to guide induced abortion and improve abortion management. Methods: From January 2011 to October 2015, 120 cases of aborted abortion were enrolled in the hospital and included in the case group. Another 400 women with normal abortion during the same period were enrolled in the control group and were examined in detail to compare the relevant indicators. Results: In the case group, 51.67% were treated with simple vaginal bleeding, 31.67% with vaginal bleeding and abdominal pain, and 26.67% with abnormal face and lip bruises. The age of patients in the case group was lower than that in the control group In the control group, the difference was statistically significant (P <0.05). The cases of cervical Chlamydia, the proportion of history of human flow were 11.67%, 40.00% higher than the control group 2.00%, 28.25%, the difference was statistically significant (P <0.05 ). Conclusion: There are many influencing factors of missed abortion. For high risk, we need to adopt a more active abortion strategy, relax the indications of aspiration and prevent missed abortion.