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目的探讨宫术宁胶棒联合戊酸雌二醇用于绝经后妇女宫内节育器取出术的临床效果。方法 330例绝经后取器妇女,随机分为两组,每组165例,两组对象术前给戊酸雌二醇2mg/d,连服7d,观察组术中用宫术宁胶棒扩张宫颈后取器,对照组按常规取器,术中未加任何处理,观察两组对象宫颈软化程度、取器困难程度、术中疼痛、手术时间和不良反应情况。结果宫颈软化有效率:观察组为98.79%,对照组为68.48%;顺利取器:观察组为92.73%,对照组为56.36%;取器困难:观察组为7.27%、对照组为39.39%,两组的宫颈软化及取器困难程度比较差异有统计学意义(P<0.05);两组的术中镇痛、手术时间和术中不良反应比较差异有统计学意义(P<0.05)。结论宫术宁胶棒联合戊酸雌二醇用于绝经后妇女器取术,能有效软化宫颈、缓解和减轻疼痛,缩短手术时间,取器成功率高、不良反应少,该方法安全、有效、简便,值得临床推广应用。
Objective To investigate the clinical effect of Gong Shu Ning glue stick combined with estradiol valerate in the treatment of postmenopausal women with intrauterine device removal. Methods 330 cases of postmenopausal women were randomly divided into two groups of 165 cases, two groups of preoperative patients with estradiol valerate 2mg / d, and even served 7d, the observation group intraoperative use of Gong Ning glue stick dilatation Cervical after the device, the control group according to conventional take the device, without any treatment during operation, the two groups were observed the degree of cervical softening, difficulty taking the device, intraoperative pain, operation time and adverse reactions. Results Cervical softening effective rate was 98.79% in the observation group and 68.48% in the control group. The successful rate was 92.73% in the observation group and 56.36% in the control group. Difficulty in taking the device was observed in 7.27% in the observation group and 39.39% in the control group, There was significant difference between the two groups in the degree of cervical softening and difficulty in taking the device (P <0.05). There was significant difference between the two groups in intraoperative analgesia, operation time and intraoperative adverse reactions (P <0.05). Conclusions Miyagi Ning glue stick combined with estradiol valerate can effectively soften cervix, relieve and relieve pain, shorten the operation time, high success rate of device, less adverse reaction, this method is safe and effective , Simple, worthy of clinical promotion and application.