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目的探讨尼尔雌醇联合米索对绝经后妇女取出IUD的临床疗效观察。方法选择160例绝经妇女,随机分为治疗组及对照组。治疗组80例绝经妇女,术前给予尼尔雌醇0.4mg顿服,于服药后第8天来站取器,取器前将米索200mg置于阴道和宫颈口2h后取器。对照组80例绝经妇女只用米索200mg置于阴道。结果口服加局部两药联合应用,扩张宫口和取器容易程度优于术前只用米索阴道给药的取器方法。结论绝经期妇女在口服尼尔雌醇的基础上,在取器前2h,在阴道及宫颈口放置米索粉剂是理想的给药途径和取器方法。
Objective To investigate the clinical efficacy of nylestriol combined with misoprostol in the treatment of IUD in postmenopausal women. Methods 160 cases of menopausal women were selected and randomly divided into treatment group and control group. Treatment group, 80 cases of menopausal women, preoperative nilestriol 0.4mg Dayton clothing, taking the first 8 days after taking the device, before taking the device will be misoprostol 200mg placed in the vagina and cervix 2h after the device. 80 cases of menopausal women in the control group only misoprostol 200mg placed in the vagina. Results Oral plus local combination of two drugs, dilatation of the cervix and take the device easier than the preoperative only misoprostol vaginal delivery method. Conclusion Menopausal women on the basis of oral nilestriol, 2h before taking the device, placed in the vagina and cervix mouth misoprostol is the ideal route of administration and take the device.