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目的探索药物抗早孕完全流产后出血原因、诊断及治疗措施。方法药物流产后出血行清宫术 ,清宫后仍持续出血患者 7例 ,经阴道B型超声检查与血清性激素测定明确诊断并以激素补充治疗。结果阴道B型超声检查 ,5例子宫内膜呈细光带状 ;2例内膜粗糙 ;3例一侧卵巢瘤样病变 ;血中雌二醇 (E2 )与孕酮 (P)水平相当于黄体早期 (E2 4 0～5 9.1pg/ml,P 2 .6～ 3.1ng/ml) ,4例双卵巢正常大小 ,其内仅见小滤泡回声 ,血中E2 、P水平低于卵泡早期 (E2 11.5～2 6 .4 pg/ml,P 0 .0 5～ 1.3ng/ml)。 7例均予妇康片 +己烯雌酚治疗 3疗程痊愈。 结论药物抗早孕完全流产后出血中存有功能失调性子宫出血 ,包括卵巢妊娠黄体退化不全与持续无排卵雌激素水平过低 ,一般治疗无效时可予以激素补充治疗。
Objective To explore the cause, diagnosis and treatment of hemorrhage after drug abortion in abortion. Methods After the abortion, the patients were cured by hysteroscopy and 7 cases with persistent hemorrhage after the curettage. The transvaginal B-mode ultrasonography and serum sex hormone determination were confirmed and treated with hormone replacement therapy. Results Vaginal type B ultrasound examination showed that 5 cases of endometrium showed a light ribbon; 2 cases of endometrial rough; 3 cases of ovarian tumor-like lesions on one side; blood estradiol (E2) and progesterone (P) In the early stage of corpus luteum (E2 4 0 ~ 5 9.1pg / ml, P 2 .6 ~ 3.1ng / ml), 4 cases of normal size of double ovary, only small follicles echo, blood E2, P levels lower than the early follicles E2 11.5 ~ 2 6 .4 pg / ml, P 0 .05 ~ 1.3ng / ml). 7 cases were both Fukang tablets + diethylstilbestrol treatment of 3 courses cured. Conclusion There are dysfunctional uterine hemorrhage in the hemorrhage after complete miscarriage of drugs, including ovarian degenerative luteal pregnancy and persistent anovulatory estrogen levels are too low, the general treatment may be hormone replacement therapy ineffective.