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目的观察绝经后宫颈萎缩取环术前的宫颈准备对于取环术的影响。方法选取2013年5-11月该院收治的需要进行取环手术的已绝经妇女100例,随机分为实验组和对照组,每组50例。对照组采用常规手术前准备,实验组患者进行米非司酮和米索前列醇的手术准备,观察两组患者宫颈软化程度和取环成功率。结果实验组患者宫颈软化率为96.0%,对照组患者宫颈的软化率为80.0%,实验组患者的宫颈软化情况要明显好于对照组患者(P<0.05),并且实验组患者的手术相关情况和取环情况也明显优于对照组患者(P<0.05)。结论在绝经后宫颈萎缩取环术前进行米非司酮和米索前列醇的宫颈准备能够很好的软化宫颈,提高取环的成功率,减少手术的时间和出血量,具有非常积极的临床意义,可以进行临床推广和应用。
Objective To observe the effect of preoperative cervical preparation for cervical atrophy after menopause cervical surgery. Methods 100 cases of postmenopausal women who were admitted to our hospital from May to November in 2013 were randomly divided into experimental group and control group with 50 cases in each group. The control group was prepared by conventional surgery. The patients in the experimental group were prepared for mifepristone and misoprostol, and the degree of cervical softening and the success rate of the ring were observed. Results The cervical softening rate was 96.0% in the experimental group and 80.0% in the control group. The cervix softening in the experimental group was significantly better than that in the control group (P <0.05), and the operation-related conditions in the experimental group And take the ring situation is also significantly better than the control group patients (P <0.05). Conclusions Cervical preparation of mifepristone and misoprostol before cervical atrophy in premenopausal women with cervical atrophy can well soften the cervix, improve the success rate of taking the ring, reduce the operation time and the amount of bleeding, and has a very positive clinical Significance, clinical promotion and application.