妈富隆治疗瘢痕子宫药物流产残留72例的的疗效观察.docVIP

妈富隆治疗瘢痕子宫药物流产残留72例的的疗效观察 　　【摘要】 目的：探析去氧孕烯炔雌醇片（妈富隆）治疗瘢痕子宫药物流产不全后宫内残留的疗效。方法：入选本院2013年5月-2014年5月收治的142例药物流产后持续阴道出血2周的患者，随机分为两组，观察组72例采用去氧孕烯炔雌醇片联合益母草保守治疗，对照组70例采用药物流产蜕膜残留手术清宫法治疗，比较两组疗效。结果：观察组完全止血率84.7%（61/72）显著高于对照组47.1%（33/70），差异具有统计学意义（P0.05）；观察组治疗后子宫体积（143.6±50.2）cm3显著小于对照组（169.9±54.4）cm3，子宫内膜厚度（0.8±0.2）cm也显著小于对照组（1.4±0.3）cm，用药后阴道流血时间（5.6±2.2）d显著短于对照组（9.4±2.5）d，妊娠残留物排出时间（4.2±2.5）d也显著短于对照组（6.8±2.8）d，月经情况显著优于对照组，差异均具有统计学意义（P<0.05）。结论：妈富隆治疗药物流产不全后宫内残留完全止血率高，阴道流血时间短，并可调节月经情况，促进子宫恢复。 　　【关键词】 去氧孕烯炔雌醇片； 药物流产； 残留 　　【Abstract】 Objective：To analyze the Desogestrel and Ethinylestradiol Tablets （Marvelon） effect in the treatment of uterine scar incomplete drug abortion intrauterine residue.Method：142 cases of medicine logistics postpartum were selected in our hospital from May 2013 to May 2014， in which two weeks patients were with persistent vaginal bleeding， were randomly divided into two groups， the observation group of 72 cases with Desogestrel and Ethinylestradiol Tablets combined with motherwort conservative treatment， the control group of 70 cases with drug abortion decidual residue operation curettage therapy， compared two the therapeutic effect of the group. Result： The observation group hemostasis rate was 84.7%（61/72） was significantly higher than that in control group 47.1%（33/70）， with significant difference（P<0.05）；the observation group after treatment of uterine volume （143.6±50.2）cm3 was significantly lower than that of control group （169.9±54.4）cm3，endometrial thickness （0.8±0.2）cm also significantly less than that of the control group （1.4±0.3）cm，the duration of vaginal bleeding after drug （5.6±2.2）d was significantly shorter than that in control group （9.4±2.5）d，gestational residue discharge time （4.2±2.5）d was significantly shorter than that in control group （6.8 ±2.8）d，menstruation was significantly better than the control group， the difference differences were statistically significant（P<0.05）.Conclusion：Marvelon in the treatment of incomplete abortion