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目的探讨绝经妇女宫内节育环取出更有效简单的方法。方法将200例患者随机分为四组:第一组,1周前口服结合雌激素(倍美力)取环前3 d口服米非司酮,2 h前阴道后穹窿米索前列醇400μg;第二组,取环前应用丙泊酚;第三组,取环前15 min肌内注射或静推间苯三酚80 mg;第四组,直接取环。结果第三组宫颈软化程度最好,第一组宫颈软化中等,疼痛II级,第二组宫颈软化次之,第四组最差。结论绝经妇女取环时采用静脉或肌内注射间苯三酚即可软化宫颈,又可减少痛苦,降低取环困难程度,是临床医师在绝经取环中有效的一种方法。
Objective To explore a more effective and simple method for removing the IUD in postmenopausal women. Methods 200 patients were randomly divided into four groups. In the first group, oral administration of estrogen (betamethasone) took orally mifepristone three days before taking the ring and 400 μg of vaginal posterior fornix vomiting in two hours before the administration. In the second group, propofol was taken before the ring was taken. In the third group, intramuscular injection or retarded phloroglucinol 80 mg 15 minutes before the ring was taken; in the fourth group, the ring was directly taken. Results The third group had the best degree of cervical softening. The first group had moderate cervical softening, grade II pain, second group cervical softening followed by the fourth group. Conclusions Menopause women taking intravenous or intramuscular injection of phloroglucinol to soften the cervix while taking the ring can also reduce the pain and reduce the difficulty of taking the ring, which is a valid method for clinicians to take the ring in menopause.