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| Curative effect of B-ultrasound monitoring combined with desogestrel and estradiol tablet for treating intrauterine residue of patients with scar uterus |
| The First Affiliated Hospital of Hebei North University, Zhangjiakou, Hebei Province, 075000 |
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Abstract To explore the curative effect of B-ultrasound monitoring combined with desogestrel and estradiol tablet for treating intrauterine residue of patients with scar uterus after incomplete abortion. Methods: A total of 126 patients with intrauterine residue and scar uterus after incomplete abortion were selected and were divided into two groups (63 cases in each group) by random number table method from May 2018 to May 2020. The patients in the control group were treated by Motherwort combined with the follow up by B-ultrasound monitoring, while the patients in the observation group were treated with desogestrel and estradiol tablet combined with the follow up by B-ultrasound monitoring. The vaginal bleeding time, the removal time of intrauterine pregnancy residue, the changes of the uterine volume and the endometrial thickness, and the situation of menstrual recovery of the patients before and after treatment was compared between the two groups. Results: After treatment, the cure rate (88.9%) of the patients in the observation group was significantly higher than that (74.6%) of the patients in the control group, the vaginal bleeding time (5.7±1.1d) and the removal time of intrauterine pregnancy residue (4.7±2.1 d) of the patients in the observation group were significantly shorter than those (8.7±1.5d and 6.3±2.5 d) of the patients in the control group (P<0.05). The uterine volume and the endometrial thickness of the patients in both groups had decreased significantly after treatment, and which (145.39±38.31 cm3 and 0.89±0.28 cm) of the patients in the observation group were significantly lower than those (164.81±40.54cm3 and 1.42±0.33cm) of the patients in the control group (P<0.05). The time of the menstruation interval of the patients in both groups had increased significantly after treatment, and the menstrual period time and the menstrual volume of the patients in both groups had decreased significantly after treatment, and the change ranges of which of the patients in the observation group were significantly more than those of the patients in the control group (P<0.05). Conclusion: B-ultrasound monitoring combined with desogestrel and estradiol tablet for treating intrauterine residue of the patients with scar uterus after incomplete abortion can effectively stop bleeding, help removal of the pregnancy residues, effectively control endometrial thickness, improve the recovery of regular menstruation cycle, and which is conducive to the recovery of uterus.
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