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目的:探讨药物流产后持续阴道流血清宫的时机。方法:选择药物流产后阴道流血≥10天,腹部B超示宫腔内膜未见异常回声者110例,愿意接受清宫术的56例作为研究组,不愿意接受清宫术的54例作为对照组,观察两组的治疗结局。结果:研究组阴道流血量、流血时间、尿HCG转阴时间、月经复潮时间及子宫内膜炎发生率均明显低于对照组,P<0.05。两组不全流产率差异无显著性,P>0.05。结论:药物流产后出血时间≥10天者尽早行清宫术,可减少药物流产并发症,有助于患者的迅速恢复。
Objective: To investigate the timing of continuous vaginal bleeding after medical abortion. Methods: 110 cases of vaginal bleeding after medical abortion were selected, 110 cases showed no abnormal echoes in the abdominal B-ultrasound, 56 cases were willing to accept the curettage as the research group, and 54 cases who did not accept the curettage as the control group , Observed the treatment outcome of the two groups. Results: The study group vaginal bleeding volume, bleeding time, urine HCG negative time, menstrual recuperation time and the incidence of endometritis were significantly lower than the control group, P <0.05. Two groups of incomplete abortion rate was no significant difference (P> 0.05). Conclusion: bleeding after medical abortion more than 10 days of curettage as soon as possible, can reduce the complications of medical abortion, help patients recover quickly.