卡前列甲酯栓联合替勃龙片在绝经期妇女困难取环中的应用  

Use of carboprost methylate suppository and tibolone in postmenopausal women with difficulty removal of intrauterine devices

作　　者：李东平[1] 徐伟[2] 马舒兰[1] 

机构地区：[1]复旦大学附属华山医院北院,上海201907 [2]上海交通大学医学院附属第九人民医院,上海201999

出　　处：《广州医科大学学报》2016年第4期18-19,共2页Academic Journal of Guangzhou Medical University

摘　　要：目的:对卡前列甲酯(卡孕)栓与替勃龙(利维爱)在绝经期妇女困难取环中的应用效果进行探讨。方法:2012年6月至2013年6月于本院收治的绝经期困难取环妇女60例分为对照组和观察组,每组各30例,两组患者取环前一周开始均口服替勃龙2.5 mg/d,观察组在此基础上于术前1 h阴道后穹窿放置卡前列甲酯栓0.5 mg。比较两组手术时间、出血量及宫颈扩张程度。结果:观察者患者手术时间、出血量及宫颈扩张程度均优于对照组(P<0.05)。结论:卡前列甲酯栓与替勃龙用于绝经期妇女困难取环中,可促使宫颈进一步软化和扩张,有利于取环成功率的提升,其效果安全可靠,值得推广及应用。Objective：To evaluate the efficacy of using carboprost methylate suppository （carprost ）and tibolone （livial）in postmenopausal women with difficulty removal of intrauterine devices （IUD）. Methods：Included in this study were 60 menopausal women who had difficulty removal of intrauterine rings in our hospital between June 2012 and June 2013. The women were divided into the control group and study group （n=30 each）. The control group was given oral tibolone 2. 5 mg/d for one week prior to removing the IUD. While the study group received the same treatment,a carprost suppository （0.5 mg）was additionally placed at vaginal fornix placed at 1h before the procedure. The operative time,blood loss and cervical dilation were compared between the two groups. Results：The study group experienced less operative time,blood loss and better cervical dilation compared with the control group （all P〈0. 05 ）. Conclusion：Combined use of carprost and tibolone in postmenopausal women with difficulty removal of IUD can contribute to better softened and dilated cervix,and is therefore helpful to improve the success rate of IUD removal. The combination treatment is safe,reliable,and worthy of widespread use in practices.

关 键 词：卡前列甲酯栓 替勃龙 绝经期 宫内避孕器排出 

分 类 号：R711[医药卫生—妇产科学]