不同宫颈准备方法用于绝经后取宫内节育器术的临床效果比较  

Comparison on clinical effect of different cervical preparation methods for removal of intrauterine device after menopause

作　　者：韩巧花 

机构地区：[1]陕西省府谷县人民医院妇产科,陕西府谷719400

出　　处：《安徽医药》2014年第8期1580-1581,共2页Anhui Medical and Pharmaceutical Journal

摘　　要：目的探讨不同宫颈准备方法对绝经后妇女宫内节育器取出术临床效果与安全性的影响。方法选取2009年1月—2011年12月行宫内节育器取出术的绝经后妇女60例,随机平均分为两组,分别行米索前列醇与联合雌激素准备方法。结果观察组患者宫内节育器取出术临床有效率明显优于对照组,术中疼痛观察组患者相比对照组明显缓解,观察组患者宫颈扩张程度、术中出血量以及手术时间均明显优于对照组,不良反应两组无明显差异。结论戊酸雌二醇片联合米索前列醇作为宫内节育器取出术的准备方法,明显优于单独应用米索前列醇,宫颈软化效果较好且药物安全性较好,适合临床推广使用。Objective To observe the clinical effect and safety of different cervical preparation methods for removal of intrauterine device after menopause. Methods 60 women treated with removal of intrauterine device after menopause in our hospital from 2009 to2011 were selected and divided into two groups randomly. Two groups received misoprostol and preparation method combined with estrogen. Results The clinical effective rate of removal of intrauterine device for the observation group was evidently better than that for the control group. And the pain in operation of the observation group alleviated evidently compared with that of the control group. Cervical dilatation degree,bleeding volume and operation time of the observation group were evidently better than that of the control group.And there was no evident difference for adverse reactions between two groups. Conclusion As the preparation method for removal of intrauterine device,estradiol valerate tablets combined with misoprostol is evidently better than single application of misoprostol. It not only has better cervix softening effect,but also has good drug safety,which is worthy of clinical promotion and application.

关 键 词：宫颈准备方法 绝经后 宫内节育器 取环术 

分 类 号：R169.4[医药卫生—公共卫生与预防医学]