宫腔操作前宫颈预处理专家共识  

Expert consensus on cervical priming before intrauterine manipulation

作　　者：无 顾向应 江静 刘欣燕[4] 林青[5] 董白桦[6] 黄丽丽[7] 于晓兰[8] 无;Gu Xiangying(Family Planning Branch of the Chinese Medical Association;不详)

机构地区：[1]中华医学会计划生育学分会 [2]天津医科大学总医院 [3]河北医科大学第二医院 [4]中国医学科学院北京协和医院 [5]首都医科大学附属北京友谊医院 [6]山东大学齐鲁医院 [7]浙江大学医学院附属妇产科医院 [8]北京大学第一医院

出　　处：《中华生殖与避孕杂志》2020年第1期3-8,共6页Chinese Journal of Reproduction and Contraception

摘　　要：宫腔操作是妇产科常用的一种诊治手段,包括手术流产、刮宫、放置或取出宫内节育器及宫腔镜诊治手术等.鉴于宫颈组织伸展性较差,宫腔操作前的宫颈预处理显得尤为重要,采用药物或机械性方法,可促进宫颈成熟,保证宫腔操作顺利进行,减少手术并发症.为提高宫腔操作的成功率和安全性,中华医学会计划生育学分会参考多国/机构的最新推荐意见,结合国内临床实际情况和专家意见,编写了本专家共识,详细阐述妊娠期、非妊娠期和育龄期、绝经后等不同时期女性的各自宫颈预处理方法,以规范临床诊疗行为,指导临床工作.Intrauterine manipulation is a common diagnostic and therapeutic procedure in the department of obstetrics and gynecology,including surgical abortion,dilatation and curettage,placement or removal of intrauterine devices and hysteroscopy or hysteroscopic operation.Because of the poor extensibility of cervical tissue,cervical priming before intrauterine manipulation is particularly important.Medical or mechanical methods should be taken to promote cervical ripening,thus to ensure the satisfactory outcome of the procedure,and to reduce the complications of it.In order to increase the successful rate and to improve the safety of intrauterine manipulation,the Family Planning Branch of Chinese Medical Association composed this consensus,referring to the latest recommendations of other countries and worldwide authoritative agencies,and in combination with domestic published articles and experts’opinions.The detailed methods of cervical priming for women in different periods,including pregnancy,non-pregnancy,childbearing period and postmenopausal period,were described herein to standardize the clinical practice of cervical priming before intrauterine manipulation.

关 键 词：宫腔操作 手术流产 宫腔镜 宫内节育器 宫颈预处理 

分 类 号：R71[医药卫生—妇产科学]