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目的:探讨不同流产方式在剖宫产术后早孕上治疗效果,为剖宫产术后早孕患者的治疗提供更好的依据。方法:选取本院2011年6月-2013年6月收治的240例剖宫产术后早孕患者进行研究,将患者随机分为两组,每组各120例,观察组采用药物流产后立即清宫术,对照组采用B超监护下无痛人流术,观察两组患者流产成功率、术后出血量、出血时间、孕囊排出时间、术后相关并发症发生情况。结果:观察组患者流产成功率相近,但观察组出血量、流血时间、孕囊排出时间均显著优于对照组,差异有统计学意义,P<0.05;观察组术后发生腹痛发生率显著低于对照组,P<0.05;但观察组感染发生率显著高于对照组,P<0.05。结论:药流后立即清宫与B超监视下无痛人流术流产率相近,但流血时间短,术后疼痛和感染发生率少,可减少因麻醉带来负面的影响。
Objective: To explore the effect of different abortion methods on early pregnancy after cesarean section, and provide a better basis for the treatment of early pregnancy after cesarean section. Methods: From June 2011 to June 2013 in our hospital, 240 cases of early pregnancy after cesarean section were selected for study. The patients were randomly divided into two groups with 120 cases in each group. The observation group was treated with abortion immediately after medical abortion The patients in the control group underwent painless abortion under B-ultrasound. The success rate of abortion, postoperative bleeding volume, bleeding time, gestational sac discharge time and postoperative complications were observed. Results: The success rate of abortion in the observation group was similar, but the bleeding volume, bleeding time and gestational sac discharge time in the observation group were significantly better than the control group, the difference was statistically significant (P <0.05); the incidence of abdominal pain in the observation group was significantly lower In the control group, P <0.05; however, the incidence of infection in the observation group was significantly higher than that in the control group (P <0.05). Conclusion: Abortion is similar to painless abortion under the supervision of B-scan immediately after medical abortion, but the bleeding time is short, the incidence of postoperative pain and infection is less, which can reduce the adverse effects caused by anesthesia.