重庆医学2012，Vol.41Issue(8)：759-761,3.DOI:10.3969/j.issn.1671-8348.2012.08.012
早孕期终止瘢痕子宫患者意外妊娠的临床分析
Clinical analysis of unplanned pregnancy termination in patients with scarred uterus during early pregnancy
刘小艳 1杨合荣 1王江 1常青1
作者信息
- 1. 第三军医大学西南医院妇产科,重庆,400038
- 折叠
摘要
Abstract
Objective To analyze the characeristics and ending of induced abortion conducted in unplannedly pregnant women with scarred uterus. Methods Clinical data of 599 patients admitted to hospital with unplanned pregnancy after cesarean section who had been subjected to induced abortion from January 2010 to March 2011 were retrospectively analyzed. Among them, 588 pregnant women with scarred uterus were divided into 2 groups according to the abortion methods which were induced abortion group (n-274) and curettage after medical abortion group(n -314). The clinical data of 600 unplannedly pregnant women without scarred uterus(300 cases of painless induced abortion and 300 cases of curettage after medical abortion) in the same period served as control. Results Among 599 patients,11 patients hospitalized due to uterine incision pregnancy and treated with laparoscopic surgery. In 588 pregnant women with scarred uterus,the success rates of surgery of patients in induced abortion group and curettage after medical abortion group showed no significantly difference(P>0. 05) , however, they were both markedly lower than those of patients without scarred uterus(P<0. 05). Compared the patients with scar uterine and the patients without scar uterine,the duration of postoperative vaginal bleeding and blood human choronic gonadotrophin(hCG) returning to normal value demonstrated no significantly difference(P>0.05). The success rate of induced abortion accepted at the time within a year from previous cesarean section was obviously lower than that of induced abortion accepted after a year(P<0. 05). Conclusion Induced abortion after cesarean section due to unplanned pregnancy is difficult and risky,and reasonable abortion method should be conducted in the patients without uterine incision pregnancy to reduce the surgical risk.关键词
妊娠,意外/流产,人工/剖宫产术/瘢痕Key words
pregnancy, unplanned/ abortion, induced / cesarean section/ cicatrix引用本文复制引用
刘小艳,杨合荣,王江,常青..早孕期终止瘢痕子宫患者意外妊娠的临床分析[J].重庆医学,2012,41(8):759-761,3.
