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目的观察米索前列醇配伍盐酸丁卡因凝胶在绝经后妇女门诊宫腔镜检查术时软化宫颈及减少术中疼痛效果。方法宫腔镜检查术104例随机分为两组,实验组52例在术前3h阴道穹隆置入米索前列醇0.3mg,术前5min盐酸丁卡因凝胶5ml注入宫颈管,对照组52例仅在术前以医用液体石蜡5ml润滑宫颈管。观察两组间的宫颈软化情况及术中疼痛情况。结果实验组,宫颈充分软化16例(30.8%),部分软化29例(55.8%),疼痛3例(5.5%);对照组宫颈充分软化0例,部分软化17例(32.7%),疼痛21例(40.4%),两组比较差异有统计学意义(P﹤0.05)。结论绝经后妇女门诊宫腔镜检查术前阴道置米索前列醇并配伍盐酸丁卡因凝胶能够提高手术成功率,减轻疼痛,应该广泛推广。
Objective To observe the misoprostol compatibility with tetracaine hydrochloride gel in postmenopausal women during hysteroscopic hysteroscopy to soften the cervix and reduce intraoperative pain. Methods Hysteroscopy in 104 cases were randomly divided into two groups. In the experimental group, 52 cases were treated with misoprostol 0.3 mg in the vaginal vault 3 h before operation and 5 ml tetracaine hydrochloride gel 5 min before operation. The control group Example Only preoperative with medical liquid paraffin 5ml cervical canal lubrication. Observation of cervical softening between the two groups and intraoperative pain. Results In the experimental group, the cervix was fully softened in 16 cases (30.8%), partial softening in 29 cases (55.8%) and pain in 3 cases (5.5%). In the control group, the cervix was fully softened in 0 cases, partially softened in 17 cases (32.7% Cases (40.4%), the difference between the two groups was statistically significant (P <0.05). Conclusion Postmenopausal women hysteroscopy preoperative vaginal misoprostol and compatibility with tetracaine hydrochloride gel can improve the success rate of surgery to reduce pain and should be widely promoted.