论文部分内容阅读
10年来剖腹产率已上升至13～15％,在高危产科中心几乎超过20％。加上肌瘤挖出术及子宫切开术,因此中期引产的病人常伴有前次子宫手术的疤痕。以往对中期引产应用羊膜腔内或羊膜腔外注入某种坠胎剂,最近常用前列腺素作为阴道栓剂,对22周以内的妊娠则扩张官颈进行钳刮术,文献上从未报导过对有前次子宫疤痕的中期引产单独应用高张盐水而发生子宫破裂。作者回顾了 Toronto 总医院对有前次子宫疤痕的中期引产应用羊膜腔内高张盐水及前列腺素 F_(2α),无一例发生子宫破裂,并
Caesarean section rates have risen to 13-15% in 10 years and almost 20% in high-risk obstetrics centers. Coupled with myomectomy and hysterectomy, so mid-term abortion patients often accompanied by the previous scars of uterine surgery. In the past on the mid-term induction of labor application of amniotic cavity or amniotic fluid injection of some abortion, recently used prostaglandin as a vaginal suppository, within 22 weeks of pregnancy is the expansion of the neck for forceps curettage, the literature has never been reported on the The last uterine scar induction of medium-term use of hypertonic saline and uterine rupture occurred. The authors reviewed the Toronto General Hospital on the use of the previous uterine scar with mid-term induction of labor with intra-amniotic hypertonic saline and prostaglandin F_ (2α), and without uterine rupture and