宫颈阻滞麻醉联合术前宫颈插管用于宫腔镜手术的临床观察  

Efficacy of Cervical Injection of Lidocaine Combined with transuterocervical intubation before Cervical Dilatation in Hysteroscopy

作　　者：何春妮[1] 何晓宇[1] 庄蓉蓉[1] 

机构地区：[1]福州总医院妇产科

出　　处：《福州总医院学报》2008年第4期270-271,共2页Journal of Fuzhou General Hospital

摘　　要：目的:观察宫腔镜检查宫颈阻滞麻醉联合术前宫颈插管扩张宫颈的效果。方法:选择宫腔镜检查患者180例,随机分3组,每组各60例。(1)A组:术前30min宫颈插管,术前2min行利多卡因宫颈阻滞麻醉。(2)B组:术前30min宫颈插管,同时肌注哌替定100 mg。(3)C组;术前2min行利多卡因宫颈阻滞麻醉。结果:宫颈扩张软化程度及心脑综合征发生率A组与B组比较,差异无显著性(P>0.05);A组、B组与、C组比较,差异显著(P<0.05)。腹痛程度两两比较,均有显著差异(P<0.05)。结论:宫腔镜检查术前宫颈插管联合利多卡因宫颈阻滞麻醉能有效地扩张宫颈、减轻疼痛,减少心脑综合征发生率。Objective:To observe whether cervical injection of lidocaine combined with transuterocervical intubation could facilitate cervical dilatation in hysteroscopy.Method:180 patients who underwent hysteroscopy were randomly divided into 3 groups:Group A received transuterocervical intubation and cervical injection of lidocaine 30 min and 2 min before hysteroscopy respectively. Group B received transuterocervical intubation and 100 mg pethidne(i.m) 30 min before hysteroscopy.Group C received cervical injection of lidocaine 2 min before hysteroscopy.Results:Cervical softening was similar in group A and B,and was better than group C.Rates of post abortion syndrome were similar in A and B,and was highest in group C.Prevalence of abdominal pain was:group C>group B>group A.Conclusion:Cervical injection of lidocaine combined with transuterocervical intubation is the best approach for cervical dilatation before hysteroscopy,with lest pain and lowest rate of post abortion syndrome.

关 键 词：宫腔镜检查 宫颈插管 利多卡因 宫颈扩张 

分 类 号：R614[医药卫生—麻醉学] R713[医药卫生—外科学]