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目的:对雌孕激素序贯治疗稽留流产刮宫术后的临床疗效进行分析。方法:选取2015年2月~2017年1月收治稽留流产患者共32例,将其平均分为对照组与观察组,对照组患者在手术后服用益母草颗粒和头孢曲松钠进行治疗,观察组在此基础上采用雌孕激素序贯治疗法,跟踪观察两组患者的临床疗效,并调查并发症的发生情况。结果:观察组月经复潮时间短于对照组,差异显著(P<0.05),术后10d子宫内膜的厚度也大于对照组(P<0.05);观察组子宫粘连发生率为6.25%,对照组为31.25%,观察组发生率较低(P<0.05);观察组有效率为93.75%(15/16),对照组为75%(12/16),观察组治疗有效率更高(P<0.05)。结论:雌孕激素序贯治疗方法应用于稽留流产刮宫术后康复治疗,效果理想,有利于患者康复,可避免子宫粘连等并发症的发生。
Objective: To analyze the clinical efficacy of sequential treatment of estrogen and progesterone after missed abortion. Methods: A total of 32 patients with missed abortion were selected from February 2015 to January 2017. The patients were divided equally into the control group and the observation group. The patients in the control group were treated with Motherwort granules and ceftriaxone sodium after operation. The observation group On the basis of sequential treatment with estrogen and progesterone, follow-up observation of the clinical efficacy of two groups of patients, and investigate the incidence of complications. Results: The duration of menstrual resuscitation was shorter in the observation group than in the control group (P <0.05), and the thickness of the endometrium on the 10th postoperative day was also greater than that of the control group (P <0.05). The incidence of uterine adhesions in the observation group was 6.25% (P <0.05). The effective rate was 93.75% (15/16) in the observation group and 75% (12/16) in the control group, and the observation group was more effective (P <0.05). Conclusion: The sequential treatment of estrogen and progesterone in treatment of abortion after curettage of missed abortion is effective, which is good for patients’ recovery and avoids the complications such as uterine adhesions.