绝经后妇女宫内节育器取出方法探讨  

Removal of intrauterine device in postmenopausal women

作　　者：黄红玲[1] 曾毅[1] 

机构地区：[1]湖南省计划生育研究所专科医院,长沙410008

出　　处：《中国计划生育学杂志》2010年第12期745-746,753,共3页Chinese Journal of Family Planning

摘　　要：目的:探讨绝经后妇女取器的有效方法。方法:回顾分析按取器术前准备和麻醉方法分成3组的绝经后妇女的取器效果。A组于术前3d顿服米非司酮150mg,服药前后2h空腹,48h后手术,术前2h阴道后穹隆置米索前列醇400μg,术中采用丙泊酚静脉麻醉;B组于术前2h阴道后穹隆置米索前列醇400μg,术中采用利多卡因局部麻醉;C组不做术前准备和术中麻醉,按常规方法取器。结果:A组取器成功率和完全无痛率均100%;B组取器成功率91.70%,完全无痛率4.80%;C组取器成功率89.30%,均有轻度至明显疼痛。取器成功率、疼痛程度A组与B组、C组比较,B组与C组比较均有统计学意义(P<0.01)。结论:术前应用米非司酮、米索前列醇,术中采用丙泊酚静脉麻醉,可提高手术成功率,避免受术者痛苦。Objective：To explore the effective method of intrauterine device（IUD）removal in postmenopausal women.Methods：A total of 410 postmenopausal women were divided into three groups.The women in group A took mifepristone 150mg orally on the 3rd day before operation,and then given 400μg of misoprostol vaginally followed by IUD removal under the intravenous anesthesia with propofol.The women in group B were given 400μg of misoprostol vaginally followed by the operation under the local anesthesia with lidocaine.The women in group C experienced IUD removal with no preoperative preparation and anesthesia.Results：The successful rates were 100%,91.70% and 89.30 in group A,B and C,respectively.In addition,100% and 4.80% of the women in group A and B felt completely painless.All of the women in the group C felt moderate-to-severe pain.Conclusion：Both the application of mifepristone and misoprostol before surgery and the performance of the surgery under intravenous anesthesia with propofol can improve the success rate of the surgery and alleviate pain.

关 键 词：绝经后妇女 取器术 米非司酮 米索前列醇 利多卡因 

分 类 号：R169.4[医药卫生—公共卫生与预防医学]