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目的探讨药物联合清宫术终止妊娠11～14周临床疗效及并发症。方法对210例妊娠11～14周的患者,采用口服米非司酮75mg1次/d,共2d,第3天上午来院门诊予米索前列醇600～1800μg口服。在胎儿排出后常规行清宫术。结果210例患者均在24h内自行排出胎儿,产程中平均出血量≤100mL,无1例患者出现大出血、休克,未出现子宫穿孔、宫颈裂伤及人流综合征。结论药物联合清宫术用于终止妊娠11～14周方法安全、有效,简便、易行,值得临床推广应用。
Objective To investigate the clinical efficacy and complications of 11 ~ 14 weeks after termination of pregnancy by drug combined with cesarean section. Methods A total of 210 pregnant women with gestational age from 11 to 14 weeks were given oral mifepristone 75 mg once daily for 2 days. The third day morning, they were given oral misoprostol 600 ~ 1800 μg. After the discharge of the fetus routine curettage. Results All 210 patients were discharged their fetus within 24 hours. The average amount of bleeding during labor was less than or equal to 100 mL. None of the patients had major bleeding, shock, uterine perforation, cervical laceration and flow syndrome. Conclusion The combination of drug and curettage is safe, effective, simple and easy to terminate 11-14 weeks’ gestation. It deserves clinical application.