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目的:探讨子宫位置与药物流产效果有无相关性。方法:对500例早孕健康女性行药流术,第1、2天每天上午9点服米非司酮75mg,第3天上午空腹服米索600mg,进行流产效果观察。结果:子宫前倾位、后倾位与正常子宫位药物流产率无差异(P>0.05),而子宫前倾位、后倾位与正常子宫位与前倾位、后倾位流产率差异显著(p<0.01),子宫前屈位、后屈位不全流产率高。结论:子宫前屈位、后屈位不全流产率高,对于早孕药流患者,除了严格掌握适应症外,还应对子宫位置进行选择,以减少药流引起的并发症,如:阴道流血、流血时间长等。
Objective: To investigate whether uterine position is related to the effect of medical abortion. Methods: 500 cases of healthy women in early pregnancy were randomized to undergo abortion. On the first and second days, 75 mg of mifepristone was given at 9:00 a.m. and 600 mg of misoprostol was administered on the morning of the third day. The abortion effect was observed. Results: There was no significant difference in the rate of abortion (P> 0.05) between anteroposterior and posterior uterus (P> 0.05), but there was significant difference between anteroposterior and posterior uterus (p <0.01), uterine flexion, post-flexion incomplete abortion rate. Conclusions: The rate of uterine flexion and post-bend flexion abortion is high. For patients with early pregnancy, in addition to strict indications, the position of the uterus should be selected to reduce the complications caused by drug flow, such as vaginal bleeding, long bleeding time Wait.