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目的:分析子宫肌瘤剔除术后药物流产的临床效果,探讨其安全性。方法:对46例子宫肌瘤剔除术后药物流产孕妇进行随访,观察其药物流产成功率、阴道出血时间、流产后刮宫发生率,并与随机药物流产对比分析。结果:子宫肌瘤剔除术后与随机药物流产组比较:完全流产率无明显差异(P>0.05);总的阴道出血持续时间无明显延长(P>0.05),但手术间隔半年内药物流产组阴道出血时间比间隔半年以上药物流产组明显延长(P<0.05),刮宫发生率明显增高(P<0.05)。结论:药物流产对终止子宫肌瘤剔除术后早孕临床效果肯定,但应尽量避免手术后半年内妊娠,以减少药物流产并发症。
Objective: To analyze the clinical effect of medical abortion after myomectomy, and to explore its safety. Methods: Forty-six cases of medical abortion after myomectomy were followed up, the success rate of medical abortion, vaginal bleeding time, the incidence of curettage after abortion were observed and compared with random abortion. Results: Compared with random medical abortion group, there was no significant difference in complete abortion rate (P> 0.05); the duration of total vaginal bleeding was not prolonged (P> 0.05), but within half a year after operation, the abortion group Vaginal bleeding time was significantly prolonged (P <0.05), and the curettage rate was significantly higher than that of drug abortion group (P <0.05). Conclusion: The medical abortion is effective in terminating early pregnancy after uterine myomectomy. However, pregnancy should be avoided within six months after operation so as to reduce the complications of medical abortion.