米索前列醇在绝经妇女宫内节育器取出术中的应用  

Misoprostol in post-menopausal women IUD removal surgery

作　　者：赵清[1] 张天慧[2] 

机构地区：[1]四川省革命伤残军人医院妇科,四川成都610501 [2]德阳市第五人民医院妇产科,四川德阳618054

出　　处：《现代医药卫生》2009年第3期356-357,共2页Journal of Modern Medicine & Health

摘　　要：目的:探讨米索前列醇在绝经妇女宫内节育器(IUD)取出术中的应用价值。方法:将106例内置圆型IUD妇女采用顺序单双号随机分成研究组和对照组各53例。研究组于取环前3 h阴道后穹窿放置米索前列醇1片(每片200μg),对照组放置安慰剂(甲硝唑0.4 g),均卧床休息3 h后常规取环,观察两组妇女宫颈软化程度和取环效果。结果:两组妇女宫颈软化程度和取环效果均存在极显著差异(P<0.01)。结论:米索前列醇能使绝经后宫颈软化、宫口松弛,达到药物扩张宫口目的,提高了取环成功率,值得临床推广应用。Objective：To explore the value of misoprostol in post-menopausal women IUD removal surgery, Methods： 106 cases of built-in round IUD were randomly divided into research and control groups,each 53 cases,using the odd and even-numbers order method.The research group placed a misoprostol tablet in posterior fomix of vagina at 3h before the check ring （each 200 μg）,and the control group placed a placebo （metronidazole 0.4 g）. Two methods needed to stay in bed for 3h before mutining check ring. Finally,the degree of softening cervix and the effect of checking ring were observed in the two groups. Results：The degree of softening cervix and the effect of IUD removement had significant differences （P〈0.01）. Conclusion：Misoprostol in postmenopausal women can soften cervix,relax cervical orifice and finally achieve the purpose of dilating cervical orifice using drags.It will greatly improve the success rate of check ring and is worthy of clinical applications and promotion.

关 键 词：宫内节育器 绝经后妇女 米索前列醇 

分 类 号：R71[医药卫生—妇产科学]