| Objective: By comparing the effect of different methods to terminate the early pregnancy of scarred uterus on early pregnancy.To seek a safer and more effective abortion method for terminating early pregnancy of scarred uterus in 2 years.Methods: From August 2016 to December 2017,a total of 120 women who required medical abortion to terminate pregnancy in our outpatient department for obstetrics and gynecology were included.All of them were scars and uterus within 2 years of early pregnancy,and menopause was within 8 weeks.Randomly divided into four groups,each group of 30 cases,the treatment is as follows: A group: medical abortion(abbreviated drug flow),group B: surgical abortion(ie,suction and curettage),group C: medical abortion + traditional Chinese medicine(Yimu Suogong particles),Group D: Surgical abortion + traditional Chinese medicine(Yimu Suogong Granules).A and C groups were given drugs(oral mifepristone combined with misoprostol)to terminate the pregnancy,group A and C was injected intramuscularly with 10 IU of oxytocin for 2 hours after the blastocyst was discharged,and oral cefuroxime axetil dispersible tablet 0.25 g Serve for 5 days 2 times a day;If the amount of vaginal bleeding during the medication is greater than half of the usual menstrual flow or if no gestational sac is discharged after 6 hours of misoprostol administration,then the direct evacuation is performed.In group C,on the basis of group A(ie,mifepristone plus misoprostol),uterine suction was performed after the gestational sac was excreted.take orally granules of Yimu Suogong,3 times a day,1 packet 1 time,and even serve for 14 days.The surgical abortion was performed in group B,ie,direct suction and curettage,postoperative administration of oxytocin and oral cefuroxime axetil dispersible tablets.The administration method was the same as in group A.Group D was on the basis of group B,and was treated with Yimu Suogong Granules and served the same group as group C.The abortion outcomes,vaginal bleeding,vaginal bleeding time,rate of uterine clearing,abortion syndrome,and recurrent menstruation were observed in the different methods of terminating the early pregnancy of scars and uterus;they were followed up on the 7th,14 th,and post-abortion periods.SPSS17.0 software was used for statistical analysis of data.Results: Four different methods of terminating early pregnancy in scarred uterus showed: Compared the surgical abortion group(groups B and D)with the medical abortion group(A and C groups),the miscarriage outcomes were: complete miscarriage rate,incomplete abortion and The failure rate of abortion was high.Among them,the complete abortion rate in group C(80%)was higher than that in group A(66.67%).The complete abortion rate in group D(93.33%)was higher than that in group B(83.33%).However,the difference has no statistical significance.Vaginal bleeding time: Group A had the longest vaginal bleeding time(9.90±3.10)days,and group C(medicial abortion + Chinese medicine)had vaginal bleeding time(6.90±1.91)days.There was statistical difference between group A and group C(P < 0.05),compared C group with D group,the difference was not statistically significant(P> 0.05).In terms of menstrual relapse time,group B had the longest time(39.20±3.85)days.There was no statistically significant difference between group A and group C.However,there were statistical differences between group B and group D,between group C and group D(P<0.05).In the first menstrual cycle after menopause relapse,the A group compared with the C group,B group and D group,the difference was not statistically significant(P> 0.05).In the amount of vaginal bleeding,the differences between the four groups were not statistically significant.In terms of rate of clearance,statistical analysis showed that there was no significant difference between group A and group C,group B and group D,group C and group D(P>0.05).Among them,there were 8 cases of incomplete abortion in group A(medical abortion),2 cases of failure in abortion,8 cases in the final curettage,4 cases of incomplete abortion in group C(medical abortion + Chinese medicine),2 cases of abortion failure,and 4 cases of final abortion.In group B,there was 1 case of abortion failure,6 cases of abortion response,and 3 cases of uterine abortion;2 cases of incomplete abortion in D group,4 cases of abortion,no abortion failure,and 1 case of uterine bleeding.The total miscarriage rate in group C was higher than that in group A,the rate of incomplete abortion and miscarriage failure was low,the vaginal bleeding time was short,and the menstrual relapse time after abortion was short,but the difference was not statistically significant;group D had a higher miscarriage rate than group B in the vagina.In bleeding and menstrual re-tide time,and the difference was statistically significant(P<0.05).The complete miscarriage rate in group C was lower than that in group D.In the vaginal bleeding time,P=0.358>0.05,after menstruation and after re-tide for the first menstrual period and volume analysis,the difference was statistically significant(P<0.05).Conclusions: 1.The presence of uterine scars may affect the outcome of miscarriage;2.It is difficult for surgical abortion to terminate the early pregnancy of scarred uterus because of presence of uterine scars,the high incidence of comprehensive response to the flow of people and menstrual recurrence after abortion;3.The medical abortion o terminate the early pregnancy of scarred uterus prone to cause intrauterine residual,Long time of vaginal bleeding,resulting in a higher rate of curettage.4.Yimu Suogong granules for termination of the scar pregnancy can improve the outcome of miscarriage,shorten the vaginal bleeding time,reduce the amount of vaginal bleeding,and promote menstrual re-tide,the menstrual re-eclampsia after the first menstrual period,the impact of the smaller amount.5.The combination of medical abortion and Yimu Suogong Granules to terminate the scar pregnancy in the uterus is clinically more easily accepted by patients. |
PDF Full Text Request