目的：觀察利多卡因宮旁阻滯聯(lián)合宮腔灌注在人流術中鎮(zhèn)痛的效果。方法:收集我院2005年1～2月門診終止妊娠的早孕婦女共94例并分為兩組:單純宮旁阻滯組（簡稱單純組）35例，宮旁阻滯聯(lián)合宮腔灌注（簡稱聯(lián)合組）59例。比較兩種利多卡因局麻方式的效果。結果:（1)兩組的止痛效果無明顯差異(P=0.893);(2)聯(lián)合組對宮頸的松弛作用優(yōu)于宮旁阻滯(Ｐ=0.000);(3)聯(lián)合組較多病例出現(xiàn)眩暈、耳鳴等副反應。結論:與單純宮旁阻滯相比，宮旁阻滯聯(lián)合宮腔灌注并無明顯優(yōu)勢。
【摘要】 目的 通過對早期妊娠卵黃囊的觀察，探討其在早孕超聲診斷中的臨床價值。 方法 2008年5月-2009年1月應用陰道超聲診斷儀觀察536例早孕患者卵黃囊的形態(tài)、大小及卵黃囊的數(shù)目，根據(jù)結果分為卵黃囊正常及異常組，比較卵黃囊的增長情況與妊娠預后的關系。 結果 504例正常組中，501例正常妊娠結局的卵黃囊大小從孕5~11周持續(xù)增長，此后逐漸縮小，孕12周后消失；另3例為宮外孕而中止妊娠。卵黃囊異常組32例。正常組和異常組的卵黃囊大小及形態(tài)有統(tǒng)計學意義（Plt;0.05）。 結論 卵黃囊超聲影像學改變可作為診斷早孕及預測妊娠發(fā)展和轉歸的可靠手段。【Abstract】 Objective To evaluate the clinical value of yolk sac in the diagnosis of early pregnancy by observing the change of yolk sac. Methods The yolk sacs in 536 pregnant women were measured by ultrasonogaphy from May 2008 to January 2009, and the correlation of the growth condition of the normal or abnormal yolk sac with pregnancy outcome were observed. Results In the normal group (504 patients), the yolk sac size of 501 patients continued to grow from five to 11 weeks of pregnancy, then gradually reduced and disappeared after 12 weeks of pregnancy. The other three patients terminated pregnancy because of ectopic pregnancy. Thirty-two cases of abnormal yolk sac were found. The results showed the size and shape of yolk sacs were significantly different between normal and abnormal groups (Plt;0.05). Conclusion The change of yolk sacs by ultrasonography during early pregnancy can be used as a good measure to diagnosis early pregnancy and predict the development and prognosis of pregnancy.
目的:探討米索前列醇片在初次早早孕(≤42天)人工流產術前應用的可行性、有效性及安全性。方法:將300例初次妊娠,孕周≤6周,擬行人工流產的婦女隨機分為口服米索組100例(A組)、陰道放置米索組100例(B組)、未使用米索對照組(C組)。A組術前2h口服米索前列醇片400 μg,B組術前2h陰道放置米索前列醇片400 μg。觀察并比較術前用藥的兩組不良反應發(fā)生率、宮頸擴張效果、術中出血量、手術時間及術后宮頸粘連發(fā)生情況。結果:B組不良反應發(fā)生率低于A組,差異有統(tǒng)計學意義(Plt;0.01);A、B兩組間術中宮頸擴張效果、術中出血量、手術時間及術后宮頸粘連發(fā)生率差異均無統(tǒng)計學意義(Pgt;0.05),但與C組比較差異有統(tǒng)計學意義。結論:米索前列醇片口服和陰道放藥都可作為初次早早孕人工流產術前的給藥方法。更推薦不良反應較小的陰道放藥。