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目的分析子宫位置与药物流产后清宫率的关系,以指导临床治疗。方法回顾性分析商丘市妇幼保健院2013年7月至2014年8月收治的270例应用药物流产的患者,根据子宫位置将患者分为:子宫前屈(50例)、前倾子宫(55例)、中位子宫(55例)、后倾子宫(54例)及子宫后屈(56例)五组,分别统计各组患者的药物流产效果,分析子宫位置与药物流产的临床清宫率的关系。结果服用流产药物后,子宫前屈、前倾子宫、中位子宫、后倾子宫及子宫后屈各组当日完全流产率为4.00%、16.36%、32.72%、18.19%及12.50%,以中位子宫组最高,子宫前屈及子宫后屈最低(P<0.05);1周后完全流产率为12.20%、30.95%、56.41%、33.33%及18.18%,仍以中位子宫组最高,子宫前屈及子宫后屈最低(P<0.05)。结论药物流产清宫率与子宫位置存在显著的关系,以中位子宫药物流产清宫率最高。
Objective To analyze the relationship between uterine location and the rate of post-abortion, in order to guide the clinical treatment. Methods A retrospective analysis was performed on 270 patients with medical abortion treated in Shangqiu MCH from July 2013 to August 2014. According to the position of the uterus, the patients were divided into 5 groups: anterior uterine flexion (50 cases), anterior uterine incision (55 cases ), The median uterus (55 cases), the retroversion uterus (54 cases) and the uterine flexion (56 cases). The abortion outcome of each group was statistically analyzed. The relationship between uterine position and the rate of clinical curettage . Results The abortion rates on the day of uterine flexion, anteversion, anteroposterior uterus, anteroposterior uterus and posterior uterine flexion were 4.00%, 16.36%, 32.72%, 18.19% and 12.50% The uterus group had the highest uterine group, the lowest uterine flexion and uterine flexion (P <0.05). The rate of complete abortion was 12.20%, 30.95%, 56.41%, 33.33% and 18.18% after 1 week, The lowest flexion and uterine flexion (P <0.05). Conclusion The abortion rate of abortion has a significant relationship with the location of the uterus. The rate of miscarriage is the highest in the middle uterus.