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目的:探讨复方米非司酮联合米索前列醇治疗稽留流产的临床效果。方法:随机将120例稽留流产患者分为对照组和观察组,每组各60例,对照组采用己烯雌酚治疗,观察组采用复方米非司酮联合米索前列醇治疗,分析其治疗效果及不良反应发生情况。结果:观察组治疗效果优于对照组,平均出血量少于对照组,手术时间明显短于对照组,人工流产综合征及再次清宫术者少于对照组,差异均有统计学意义(P<0.05);所有患者治疗过程中均未见明显不良反应发生。造成稽留流产的最主要因素为环境因素,与本地自然环境及职业构成有关,占本研究稽留流产总数的28%。结论:复方米非司酮联合米索前列醇治疗稽留流产,疗效优于传统口服己烯雌酚,且术中出血量少,手术时间短,不良反应少,值得临床推广应用。
Objective: To investigate the clinical efficacy of compound mifepristone and misoprostol in the treatment of missed abortion. Methods: 120 cases of missed abortion were randomly divided into control group and observation group, 60 cases in each group. The control group was treated with diethylstilbestrol. The observation group was treated with compound mifepristone and misoprostol. The curative effect and adverse effects were analyzed Reaction occurred. Results: The observation group had better curative effect than the control group, the average amount of bleeding was less than that of the control group, the operation time was significantly shorter than that of the control group, and the difference was statistically significant between abortion syndrome and the patients with re-hysterectomy (P < 0.05). No adverse reactions occurred in all the patients during the course of treatment. The most important factor contributing to aborted abortion is the environmental factor, which is related to the local natural environment and occupational composition, accounting for 28% of the total aborted abortion in this study. Conclusion: The combination mifepristone and misoprostol for missed abortion, the curative effect is better than the traditional oral diethylstilbestrol, and less blood loss, shorter operative time, fewer adverse reactions, worthy of clinical application.