3种绝经后妇女宫内节育器取出术的疗效比较  

Comparison in Curative Effects of Three Kinds of Intrauterine Device Removal Surgery in Post menopausal Women

作　　者：卢志茹[1] 张丽娜[2] 李英惠[1] 

机构地区：[1]河北省保定市第一中心医院妇产科,071000 [2]河北大学

出　　处：《国际生殖健康／计划生育杂志》2013年第5期379-381,共3页Journal of International Reproductive Health/Family Planning

基　　金：河北省人口和计划生育委员会科技研究计划(2009-B15)

摘　　要：目的:探讨3种不同绝经后妇女宫内节育器取出术的疗效。方法:选择绝经后妇女317例,随机分成3组。A组(104例)口服补佳乐(2 mg),连服5 d,术前3 h于阴道后穹窿放置米索前列醇400μg。手术开始后使用丁卡因胶浆3 g进行表面麻醉。B组(112例)使用米索前列醇及丁卡因联合,方法及剂量同A组。C组(101例)手术开始后单纯使用丁卡因胶浆。记录3组节育器取出术中患者的疼痛程度、术后阴道出血时间及取器成功率。结果:3组一次性取出节育器成功率比较差异有统计学意义(χ2=15.585,P<0.05)。3组节育器取出术中疼痛程度、术后阴道出血时间比较差异有统计学意义(H分别为144.366和31.567,P<0.05)。结论:在绝经后妇女宫内节育器取出术前应用补佳乐、米索前列醇及术中配伍丁卡因,能减轻患者的痛苦,增加取器的一次成功率,减少术后阴道出血时间。Objective ：To evaluate the curative effect of three methods used in the intrauterine device（IUD） removal surgery in post-menopausal women. Methods：The selected 317 post-menopausal women requiring the IUD removal surgery were randomly divided into three groups. Women in group A orally took progynova （2 mg） for 5 days, and placed misoprostol 400 μg in the vaginal fornix 3 hours before the surgery. And tetracaine mucilage was used for surface anesthesia during operation. Women in group B used misoprostol combined tetracaine, with the same dosage and administration in group A. Women in group C only used tetracaine mucilage, with the same dosage and administration in group A. Clincal parameters were collected, including the vaginal bleeding time, the success rate of IUD removal surgery, and pain degrees during operation and after operation. Results：There was significant difference in the success rate of IUI） removal surgery among A, B and C groups （X^2=15.585,P〈0.05）. There were also significant differences in the pain degree during IUD removal surgery and the vaginal bleeding time among three groups （the value of H was 144.366 and 31.567 respectively, P〈0.05 ）. Conclnsions：The method combined progynova, misoprostol and tetracaine before IUD removal surgery among post-menopausal women was helpful to alleviate surgery pain, increase success rate, and shorten vaginal bleeding time after surgery.

关 键 词：绝经期 宫内避孕器 米索前列醇 丁卡因 

分 类 号：R169.4[医药卫生—公共卫生与预防医学]