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1、宫腔镜治疗稽留流产43例分析【摘要】日的：探讨宫腔镜治疗稽留流产的方法及临床疗效。方法：选取我院2009年12刀〜2010年12丿J收治的43例稽册流产的患者作为观察组，釆用宫腔镜检查加清宫术治疗;另选取我院2008年8月〜2009年8月收治的43例稽留流产患者作对照组，在采用米非司酮配伍米索前列醇治疗后，施行传统淸宫术，比较两组患者的手术时间，术中出血量，术后流血时间，术厉宫颈、宫腔粘连数，住院时间，妊娠残留例数，再次清宫术及子宫畸形数。结果：观察组手术时间、术屮出血量与对照组差异无统计学意义(P>0.05),观察组在术后流血时间，
2、术后宫颈、宫腔粘连数，住院时间，妊娠残留例数，再次清宫术等方面均少于对照纽(PvO.05),宫腔异常(子宫畸形或宫腔粘连)发现率明显高于对照m(P<0.05)o结论：宫腔镜治疗稽留流产手术损伤小、术后并发症的发生率低、住院时间短，能及早发现并治疗宫腔异常，具有很重要的临床价值。【关键词】宫腔镜;清宫术;稽阳流产;疗效[ABSTRACT]Objective：Todiscussapplicationofhysteroscopyintreatmentofmissedabortion.Method：Atotalof43cases(observ
3、ationgroup)withmissedabortionadmittedfromDecember2009toDecember2010inourhospitalwereselectedastheobservationgroup,theyweretreatedbycurettageunderhysteroscopy;another43caseswithmissedabortionadmittedfromJanuary2008toAugust2009wereselectedascontrolgroup,andweretreatedbymi
4、fepristoneandmisoprostolfirstly,followedbytraditionalcurettage・Theoperativetime,bloodloss,postoperativebleedingtime,incidenceofpostoperativeadhesionofcervix,incidenceofintrauterineadhesion,hospitalizationtime,andtheincidencesofpregnancyresidue,re-curellageanduterinemalf
5、ormationwereobservedandcompared・Results：Therewerenosignificantdifferencesbetweenthetwogroupsintheoperativetimeandoperativebleedingvolume(P>0.05).Thepostoperativebleedingtime,incidencesofpostoperativeadhesionofcervixandintrauterineadhesion,hospitalizationtime,theincidenc
6、esofpregnancyresidueandre-curettageinobservationgroupweresignificantlylowerthanwhichwereinthecontrolgroup(P<0.05).Whileincidenceofabnormalitiesintheuterinecavity(uterinemalformationorintrauterineadhesions)intheobservationgroupwassignificantlyhigherthanthatinthecontrolgr
7、oup(P<0.05).Conclusions：Thetreatmentofmissedabortionunderhysteroscopyisoflittleinjury,lowincidenceofpostoperativecomplications,shorterhospitalstay,andearlydetectionofabnormaluterinecavity.1(isvaluableinclinicalapplication.[KEYWORDS]Hysteroscopy;Curettage;Missedabortion;
8、Efficacy随着社会经济和医药卫生产业的不断发展，人们对医疗卫生水平提出了更高的要求。稽留流产乂称过期流产，是临床上比较难处理的流产类型，其胚胎死亡后释放凝血酶进入母体血液循环，若不及时进行淸除容易引起凝血功能障碍[
