不同术前宫颈处理在宫腔镜手术中的效果评价  

Outcomes of different preoperative cervical management in hysteroscopic surgery

作　　者：吴琪 马少平 WU Qi;MA Shaoping(Department of Obstetrics and Gynecology,The First Affiliated Hospital of Wannan Medical College,Wuhu 241001,China)

机构地区：[1]皖南医学院第一附属医院弋矶山医院妇产科,安徽芜湖241001

出　　处：《皖南医学院学报》2022年第2期135-137,共3页Journal of Wannan Medical College

基　　金：弋矶山医院三新项目(Y20064)。

摘　　要：目的:回顾分析宫腔镜术前不同宫颈处理对宫颈扩张满意度及不良反应。方法:选取弋矶山医院40例行宫腔镜操作的患者,分为无菌导尿管置入宫颈管的机械组和纳卡前列甲酯栓的前列腺素类药物组,并对两组宫颈扩张满意度及不良反应进行比较。结果:两组宫颈扩张总满意度差异无统计学意义(P>0.05),术后平均住院时间机械组长于药物组,在术后因副作用有不良体验对比上,药物组较机械组高(P<0.05)。结论:虽然宫腔镜操作前机械扩张宫颈不能较药物提高宫颈扩张满意度,但可减少不良反应的发生率,有较高的临床应用价值。Objective:To retrospectively analyze the satisfaction in softening the cervix and adverse reactions of different cervical management before hysteroscopy.Methods:Forty patients undergoing hysteroscopic operation in our hospital were divided into the mechanical treatment group(managed by insertion of sterile catheter into the cervical tube)and the prostaglandin group(managed by carboprost methylate suppositories).Then the two groups were compared regarding satisfaction in cervical dilation and adverse reactions.Results:The two groups remained no difference in satisfaction in cervical softening(P>0.05),yet patients in prostaglandin group had longer days of hospital stay on average as well as higher adverse response and discomfort experience than those in mechanical treatment group(all P<0.05).Conclusion:Although mechanical cervical dilatation before hysteroscopy cannot improve the satisfaction of cervical dilatation compared to drugs,yet still has higher clinical value,for it can significantly reduce the incidence of adverse reactions.

关 键 词：宫腔镜 卡前列栓 导尿管 扩张满意度 不良反应 

分 类 号：R713.4[医药卫生—妇产科学]