局解手术学杂志2024，Vol.33Issue(12)：1097-1100,4.DOI:10.11659/jjssx.05E023140
瘢痕子宫妊娠中期引产方法的研究
Study on methods of induced second-trimester abortion in women with scarred uterus
摘要
Abstract
Objective To observe the effects of cervical dilation balloon combined with ethacridine lactate injection on termination of second-trimester pregnancy in women with scarred uterus and its impact on postpartum psychology of patients.Methods A total of 128 patients with scarred uterus in second-trimester pregnancy who underwent induced abortion in our hospital from January 2022 to December 2023 were selected and randomly divided into the observation group and the control group,with 64 cases in each group.Patients in the control group received traditional 150 mg oral mifepristone+ethacridine lactate injection 100 mg intraamniotic injection to induce labor;patients in the observation group received COOK cervical dilation balloon for promoting cervical maturation+150 mg oral mifepristone+esacridine lactate injection 50 mg intraamniotic injection to induce labor.The time of labor induction,the time of labor,the amount of postpartum hemorrhage,the total effective rate of labor induction,the incidence of soft birth canal injury and threatened uterine rupture,and the postpartum psychology of patients were compared between the two groups.Results The total effective rate of labor induction of patients in the observation group was higher than that in the control group,the time of labor induction and the time of labor were shorter than those in the control group,the amount of postpartum hemorrhage was less than that in the control group,the differences were statistically significant(P<0.05).There was no significant difference in the incidence of complications between the two groups(P>0.05).The proportion of patients with positive Edinburgh postnatal depression scale(EPDS)in the control group was significantly higher than that in the observation group(t=10.818,P<0.05),and there was statistically significant differences in the ten emotional aspects of EPDS between the two groups(P<0.05).Conclusion For patients with scarred uterus in second-trimester pregnancy,COOK cervical dilation balloon for promoting cervical maturation+150 mg oral mifepristone+esacridine lactate injection 50 mg intraamniotic injection to induce labor has good effect,which is conducive to postpartum mental health.关键词
瘢痕子宫/中期妊娠/COOK宫颈扩张球囊/引产Key words
scarred uterus/second-trimester pregnancy/COOK cervical dilation balloon/induction of labor分类
医药卫生引用本文复制引用
何华,林飞霞,施桂丽,梁美玲..瘢痕子宫妊娠中期引产方法的研究[J].局解手术学杂志,2024,33(12):1097-1100,4.基金项目
泉州市科技计划项目(2024NY072) （2024NY072）
