摘要
对３８例因药物流产（药流）后阴道不规则出血患者行清宫术，宫腔刮出物送病检。结果为绒毛组织１６例，占４２１１％；蜕膜组织２０例，占５２６３％；２例为增殖期子宫内膜，占５２６％。提示，蜕膜和绒毛组织残留是药流后阴道异常出血的主要原因。
38 patients received curettage because of heavy and prolonged vaginal bleeding after medical abortion by mifepristone combined with misoprotstol. The examination of specimens obtained during curettage revealed villi in 16 specimens, which accounted for 42.1%. Twenty of the specimens were dicidra, which accounted for 52.6%. The other 2 samples are endometrium during hyperplasia. It is surggested that the major cause for heavy or prolonged vaginal bleeding after medical abortion by mifepristone and prostaglandin analogue was residual villi and decidua.
关键词
子宫出血
药物流产
人工流产
abortion, induced
abortifacient agents
uterine hemorrhage
mifepristone
