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目的:减轻绝经期女性取环术中的疼痛,预防绝经期宫内取环术并发症,提高手术成功率。方法:选择2011年1月至2011年12月在我站门诊要求取出宫内节育器的38例绝经期女性,口服倍美力联合利多卡因宫颈管表面麻醉后取出节育器。结果:本组38例女性术中子宫宫颈均变大变软,宫颈较松,可通过探针与普通取环钩,其中,3例因嵌顿剪断取出,1例因节育环嵌顿严重致取环失败,成功率为97.36%。结论:在绝经后女性宫内节育器取出术中应用倍美力联合利多卡因安全方便,手术时间短,术中出血减少,减轻了术者的痛苦,且一次性取环的成功率高,值得临床推广应用。
OBJECTIVE: To relieve the pain in the circumcision of premenopausal women, prevent intrauterine complications of menopause and improve the success rate of surgery. Methods: From January 2011 to December 2011, 38 cases of postmenopausal women who requested removal of IUD in our outpatient department were enrolled in this study. The IUD was removed after oral administration of bevermese combined with lidocaine on the surface of cervical canal. Results: The 38 cases of female intrauterine cervix were larger and softer, the cervix is loose, can be hooked through the probe with the general take, of which 3 cases were removed due to incarcerated, 1 case of incarceration due to severe incontinence Failed to take the ring, the success rate of 97.36%. Conclusion: It is safe and convenient to use Betamethasone and Lidocaine to remove IUD during operation in postmenopausal women. The operation time is short, the bleeding in operation is reduced, the pain of the surgeon is relieved, and the success rate of one - Worthy of clinical application.