绝经后妇女应用超导可视下取环术的临床效果分析  

Analysis of the clinical effect of superconducting visual IUD removal in postmenopausal women

作　　者：李真敏 卢百红 卢巧玲 LI Zhen-min;LU Bai-hong;LU Qiao-ling(Xiangcheng District Maternal and Child Health Hospital,Zhangzhou 363000,China)

机构地区：[1]漳州市芗城区妇幼保健院,363000

出　　处：《中国现代药物应用》2024年第2期64-66,共3页Chinese Journal of Modern Drug Application

摘　　要：目的观察绝经后妇女应用超导可视下取环术的临床效果。方法将在本院2017年1月~2019年12月收治绝经后的妇女接受取环手术患者180例,以随机数字表法分为对照组和研究组,每组90例。对照组患者行常规取环术,研究组患者行超导可视下取环术。比较两组患者手术相关指标、一次性取环成功率及术中并发症发生情况。结果研究组患者手术操作时间(1.55±0.44)min、术中出血量(2.11±0.29)ml、手术疼痛持续时间(9.23±1.23)min少于对照组的(3.79±0.52)min、(5.02±0.64)ml、(19.02±3.47)min,疼痛评分(2.26±0.33)分低于对照组的(4.77±0.61)分(P<0.05)。研究组患者中一次性取环成功率95.56%稍高于对照组的91.11%,术中并发症发生率6.67%稍低于对照组的10.00%,但差异无统计学意义(P>0.05)。结论与常规取环术相比,绝经后妇女在超导可视下行取环术能够避免盲目操作,可显著缩短取环手术操作时间,减少术中出血量,患者疼痛持续时间短,对提升一次性取环成功率,降低并发症的发生也有作用,效果理想,值得临床推广应用。Objective To observe the clinical effect of superconducting visual IUD removal in postmenopausal women.Methods 180 postmenopausal women who underwent IUD removal in our hospital from January 2017 to December 2019 were divided into a control group and a research group according to random numerical table,with 90 cases in each group.The control group was treated with conventional IUD removal,and the research group was treated with superconducting visual IUD removal.The surgical related indicators,success rate of one-time IUD removal,and intraoperative complications were compared between the two groups.Results The surgical procedure time in the research group was(1.55±0.44)min,the intraoperative bleeding volume was(2.11±0.29)ml,and the duration of surgical pain was(9.23±1.23)min,which were shorter than those of(3.79±0.52)min,(5.02±0.64)ml and(19.02±3.47)min in the control group;and the pain score of(2.26±0.33)points was lower than that of(4.77±0.61)points in the control group(P<0.05).The success rate of one-time IUD removal of 95.56%in the research group was slightly higher than that of 91.11%in the control group,and the incidence of intraoperative complications of 6.67%was slightly lower than that of 10.00%in the control group,but the difference was not statistically significant(P>0.05).Conclusion In postmenopausal women,the superconducting visual IUD removal is more effective than conventional IUD removal,which can avoid blind operation,significantly shorten the surgical procedure time,reducing bleeding volume,shorten the duration of pain for the patient.It can also improve the success rate of one-time IUD removal,reduce the occurrence of complications,and the effect is ideal.It is worth promoting and applying in clinical practice.

关 键 词：超导可视下 绝经 取环术 临床应用 

分 类 号：R713[医药卫生—妇产科学]