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目的:观察米索前列醇配合取环钳取出复杂性宫内节育器的临床疗效。方法:以2014年2月~2015年2月本院行复杂性宫内节育器取环术的患者51例作为观察组,给予米索前列醇片400μg舌下含服,3 h后取环钳取出宫内节育器;以2012年10月~2013年10月本院行复杂性宫内节育器取环术的患者51例作为对照组,单纯取环钳取出宫内节育器。比较两组患者平均手术时间和疼痛程度评分。以及两组宫颈松弛情况和取器成功率。结果:观察组宫颈扩张总有效率为98.04%,明显高于对照组的74.51%(P<0.05);观察组取器成功率为90.20%,明显高于对照组的39.22%(P<0.05)。观察组平均手术时间明显短于对照组,疼痛程度评分明显低于对照组(P<0.05)。结论:米索前列醇用于取环钳取出复杂性宫内节育器,可减少子宫损伤,顺利取出宫内节育器,减轻患者疼痛程度,值得临床推广应用。
Objective: To observe the clinical efficacy of misoprostol combined with ring-clamp in removing complicated intrauterine devices. Methods: From February 2014 to February 2015, 51 patients with complicated IUD in our hospital were selected as the observation group. 400 μg of misoprostol tablets were subconjunctivally implanted. After 3 hours, the ring-clamp Remove the IUD; from October 2012 to October 2013 in our hospital complicated IUD 51 cases of patients as a control group, simply take the ring forceps removed IUD. The mean operation time and pain score of two groups were compared. As well as two groups of cervical relaxation and the success rate of the device. Results: The total effective rate of cervical dilatation in the observation group was 98.04%, which was significantly higher than that in the control group (74.51%, P <0.05). The successful rate of the observation group was 90.20%, significantly higher than that of the control group (39.22%, P <0.05) . The average operation time in the observation group was significantly shorter than that in the control group, and the pain score was significantly lower than that in the control group (P <0.05). Conclusion: Misoprostol is used to remove the complicated intrauterine device by looped forceps, which can reduce uterine injury, successfully remove IUD and reduce the degree of pain in patients. It is worthy of clinical application.