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目的:探讨宫腔镜清宫术治疗稽留流产的方法及临床疗效。方法:选取我院2009年8月至2010年8月收治的43例稽留流产的患者为观察组,另选取我院2004年8月至2005年8月收治的43例稽留流产的患者为对照组,该组患者在采用米非司酮配伍米索前列醇治疗后,施行传统清宫术。比较两组患者的手术时间,术中出血量,术后流血时间,术后宫颈、宫腔粘连数,人流综合症的比率,住院时间,妊娠残留例数,再次清宫术及子宫畸形数。结果:观察组在手术时间、术中出血量方法与对照组无显著性差异,P>0.05。观察组在术后流血时间,术后宫颈、宫腔粘连数,人流综合症的比率,住院时间,妊娠残留例数,再次清宫术方面均少于对照组,P<0.05。在子宫畸形数方面显著多于对照组,P<0.05。结论:宫腔镜治疗稽留流产手术时间短、出血量少、术后并发症的发生率低、住院时间短,能及早发现子宫畸形,具有很大的临床价值。
Objective: To discuss the method and clinical efficacy of hysteroscopic curettage in missed abortion. Methods: Forty-three patients with missed abortion treated in our hospital from August 2009 to August 2010 were selected as the observation group. Another 43 patients with missed abortion admitted in our hospital from August 2004 to August 2005 were selected as the control group , The group of patients in the use of mifepristone with misoprostol treatment, the implementation of the traditional curettage. The operation time, intraoperative blood loss, postoperative bleeding time, postoperative cervix, intrauterine adhesions, the proportion of abortion syndrome, hospital stay, residual cases of pregnancy, number of curettage and uterus malformation were compared again. Results: There was no significant difference between the observation group and the control group in operation time and intraoperative blood loss (P> 0.05). The observation group had less postoperative bleeding, postoperative cervical, intrauterine adhesions, the proportion of people with flow syndrome, hospital stay, the number of residual cases of pregnancy, again curettage less than the control group, P <0.05. In the number of uterine malformations were significantly more than the control group, P <0.05. Conclusion: Hysteroscopic treatment of missed abortion with short operative time, less bleeding, low incidence of postoperative complications, shorter hospital stay, early detection of uterine malformations, has great clinical value.