米非司酮联合米索前列醇在妊娠早期药物流产中的应用

Q4 Medicine
J. Georgievska, G. Tofoski, A. Daneva, G. Dimitrov, V. Jovanovska, Eva Sozovska, Sašo Dimitrovski, Adriana Buklioska
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引用次数: 0

摘要

目标。目的探讨药物流产在妊娠早期终止妊娠后的有效性和患者满意度。方法。回顾性分析我院在2020年10月1日至2021年10月1日期间进行药物流产的经验。米非司酮片和米索前列醇片是根据世界卫生组织的议定书改编的方案施用的。结果。在我们诊所一年的时间里,我们用米非司酮和米索前列醇联合治疗了189名患者,目的是在妊娠早期终止妊娠。8例(4.23%)患者因子宫内残留肿块在两周后进行器械翻修,2例(1.06%)患者成功重复手术。该方法的有效率为95.8%。我们有少量的并发症(长时间的生殖器出血,短暂的发烧,呕吐等)。91.4%的受访者对该方法表示满意。结论。妊娠前三个月的药物流产是一种安全有效的方法,在COVID-19大流行期间尤其有用,因为它可以在门诊环境中使用,无需住院,并与主治妇科医生协商。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Combination of mifepristone and misoprostol in medical abortion in the first trimester of pregnancy
Objective. To determine the effectiveness of the method and patient satisfaction after performing a medical abortion to terminate a pregnancy in the first trimester. Methods. In a retrospective analysis, we present the experiences in performing medical abortion at our clinic in the period from October 1, 2020 to October 1, 2021. Mifepristone tablets and misoprostol tablets were administered according to a scheme, adapted to the protocol of the World Health Organization. Results. In a period of one year at our clinic, we treated 189 patients with the combination of mifepristone and misoprostol in order to terminate a pregnancy in the first trimester. Instrumental revision due to residual masses in the uterus after two weeks was performed in 8 patients (4.23%) while the procedure was repeated successfully in 2 patients (1.06%). The efficiency of the method was 95.8%. We had a small number of complications (prolonged genital bleeding, transient fever, vomiting, etc.). Total of 91.4% of respondents were satisfied with the method. Conclusion. Medical abortion in the first trimester of pregnancy is a safe, effective method and especially useful due to the COVID-19 pandemic, because it can be used without hospitalization, within the ambulatory environment, in consultation with the attending gynecologist.
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来源期刊
Medicinski Casopis
Medicinski Casopis Medicine-Medicine (all)
CiteScore
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