Objective To analyze the relation of the pregnancy outcome between the types of placenta praevia and the vaginal bleeding,and to approach the treatment of the placenta praevia and to improve the proguosis of the mother and the infant.Methods We retrospectively analyzed the clinic data of 112 placenta praevia accompany with vaginal bleeding lying-in women from Jan.1,2003 to Jun.31,2009.Results The incidence rate of placenta praevia upgrade recently,there was close correlation between the type of placenta praevia,APH and PPH.The blood volume of APH of Placenta previa centralis is the largest(P0.01),the average time of bleeding is the earliest(P0.01) and also the blood volume of PPH is the largest(P0.01),and the clinic result is more severe.The result of marginal placenta previa is converse.Partial placenta praevia is between both.Conclusions The result of mother and infant is more severe with earlier bleeding-time and larger blood volume of placenta praevia.There are different clinic results between different patients with placenta praevia.The type and the state of bleeding could be used to anticipate the clinic result.The key factor to improve result of placenta praevia is to prompt antepartum diagnosis.The key treatment is to control bleeding.Augmentation of planning family propaganda and elevation of technical level of doctor are the utility measure to prevent and therapy placenta praevia.

目的探讨米非司酮配伍米索前列醇用于催经止孕,减少流产后阴道流血的疗效及其可行性.方法将自愿药物流产的妇女236例分为3组.Ⅰ组为早孕试验阳性,B超检查宫内未见孕囊者78例;Ⅱ组为孕周≤49天,宫内见胚芽者54例;Ⅲ组为孕周≤49天,宫内见胚芽及心管搏动者104例.观察各组给药后阴道流血时间、流血量、HCG转阴、月经复潮、有无盆腔感染及宫外孕等情况.结果Ⅰ组阴道排出物见绒毛及蜕膜组织者75例,止孕成功率96.1%,子宫出血时间≤7天69例(88.4%),出血量≤月经量65例(83.3%),尿HCG转阴,月经复潮63例(80.7%),平均不全流产感染率明显低于Ⅱ组及Ⅲ组(P＜0.05).结论药物催经止孕效果好,可提高药物抗早孕的成功率,是一种安全、有效的方法.

目的:评价选择性输卵管造影及再通术治疗不孕症的临床价值.方法:对362例由输卵管阻塞引起的不孕症患者在透视导向下,用自制同轴导管行选择性输卵管造影及再通治疗,并经导管应用庆大霉素、生理盐水、地塞米松和糜蛋白酶.术后行抗炎、止血治疗2周,随访0.5 a～5 a.结果:选择性插管的输卵管复通成功率为87.60%.其中间质部复通成功率96.00%,峡部为95.28%,壶腹部为81.93%,伞部为64.58%.随访中见已受孕者33例.结论:用自制同轴导管行选择性输卵管造影及再通治疗,器械成本低廉、简便易行、安全可靠、复通率高.