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目的探讨剖宫产后再次妊娠的流产最佳方式。方法对123例瘢痕子宫患者早期妊娠流产方式进行回顾性分析。结果瘢痕子宫人工流产组(A组):完全流产率为98%,手术时间平均(6.1±2.7)min,术中出血(21±5)ml,术后阴道流血≤7d;药物流产联合负压吸宫术组(B组):分别为100%,(2.7±2.0)min,(9±5)ml,≤6d;药物流产组(C组):完全流产率92%,阴道流血平均15d。在完全流产率、术后阴道流血时间上相比,A、B两组之间差异无统计学意义(P>0.05),A、B两组和C组间差异有统计学意义(P<0.05),A、B组在手术时间、术中出血量上比较差异有统计学意义(P<0.05)。结论药物流产联合负压吸宫术终止剖宫产术后早孕,手术易于操作,术中出血少,术后阴道流血时间短,值得临床推广应用。
Objective To explore the best way to abortion after cesarean section. Methods A retrospective analysis was performed on the patterns of early pregnancy abortion in 123 cases of uterine scar. Results The total abortion rate was 98% in the uterine abortion group (6.1 ± 2.7) min, the average operation time was 21 ± 5 ml and the postoperative vaginal bleeding was less than 7 days. (B group): 100%, (2.7 ± 2.0) min, (9 ± 5) ml, less than 6d respectively; drug abortion group (group C): complete abortion rate was 92% and vaginal bleeding was 15 days on average. There was no significant difference between group A and group B in total abortion rate and postoperative vaginal bleeding time (P> 0.05), but there was a significant difference between group A and group B (P <0.05) ), A, B group in the operation time, blood loss were statistically significant (P <0.05). Conclusion Medical abortion combined with negative pressure suction aspiration termination of early pregnancy after cesarean section, the operation is easy to operate, less bleeding, postoperative vaginal bleeding time is short, worthy of clinical application.