稽留流产的期待治疗

Expectant management of missed miscarriage.

作者信息

Jurkovic D, Ross J A, Nicolaides K H

机构信息

Department of Obstetrics and Gynaecology, King's College Hospital, London, UK.

出版信息

Br J Obstet Gynaecol. 1998 Jun;105(6):670-1. doi: 10.1111/j.1471-0528.1998.tb10184.x.

DOI:10.1111/j.1471-0528.1998.tb10184.x

PMID:9647160

Abstract

The option of expectant management was offered 221 women with ultrasound diagnosis of missed miscarriage. Eighty-five women (38%) accepted; the remaining 136 women chose surgical evacuation of retained products of conception. In the expectant management group 21 women (24.7%) had a complete miscarriage, 14 (16.5%) had incomplete miscarriage necessitating surgery, and 50 (58.8%) requested surgery within 48 days from the original diagnosis. These results suggest that the success of expectant management of missed miscarriage is too low to justify its use in routine clinical practice.

摘要

对于221例经超声诊断为稽留流产的女性，提供了期待治疗的选择。85名女性（38%）接受了期待治疗；其余136名女性选择了手术清除妊娠物。在期待治疗组中，21名女性（24.7%）完全流产，14名（16.5%）流产不全需要手术，50名（58.8%）在原诊断后48天内要求手术。这些结果表明，稽留流产期待治疗的成功率过低，无法证明其在常规临床实践中的应用合理性。