宫腔镜电切手术中米索前列醇扩张宫颈的探讨  

Tudy of misoprostol for cervical dilation in hysteroscopy

作　　者：谭晓嫦[1] 罗喜平[1] 赵根容[1] 

机构地区：[1]广东省妇幼保健院妇科,广东广州510010

出　　处：《中国内镜杂志》2006年第8期807-808,811,共3页China Journal of Endoscopy

摘　　要：目的探讨米索前列醇在宫腔镜电切手术中扩张宫颈的作用。方法选择需行宫腔镜电切手术患者96例,分为两组:米索前列醇组48例,患者行宫腔镜手术前3h阴道放置米索前列醇400μg;对照组48例,宫腔镜手术前2min宫颈注射2%利多卡因5mL。结果米索前列醇组宫颈软化良好率达85.40%,明显高于利多卡因对照组的6.25%,P<0.005;米索前列醇组扩张宫颈所需时间为(3.1±0.5)min,短于对照组的(7.4±1.2)min,P<0.05;米索前列醇组心脑综合征的发生率4.2%,低于对照组的18.8%,P<0.05。结论宫腔镜手术前3h阴道放置米索前列醇400μg能有效地扩张松弛宫颈。[Objective] To study the effectiveness of vaginal misoprostol for cervial dilation for women before hysteroscopy. [Methods] 96 women before hysterescopy were divided into two groups. 48 case were divided into misoprostol group which with vaginal misoprostol 400 μg. 48 case were divided into control group which with lidocaine. [Results] Compared with the control group, the effective cervial dilatation rate of misoprostol group was significantly higher, and the time dilativing cervices was shorter, and the incidence of abortion syndrome was lower. [Conclusion] Vaginal misoprostol can significantly facilitate cervial dilation in women before hysterescopy.

关 键 词：米索前列醇 宫颈扩张 宫腔镜电切术 

分 类 号：R713.4[医药卫生—妇产科学]