目的探讨120例绝经后宫内节育器取出术的临床分析。方法 120例绝经后要求取出宫内节育器的患者,随机分为实验组和对照组,每组60例。实验组患者在取宫内节育器前2~3 d内服药尼尔雌醇4 mg/d,而对照组则不进行特殊处理。对两组患者的病史,用药情况,手术时间,术中出血量等指标进行统计分析。结果实验组中有49例(81.67%)顺利取出宫内节育器,11例(18.33%)存在取出宫内节育器困难。其中5例节育器取出困难,且取出后变形,另有2例取出后断裂。对照组中有35例(58.33%)顺利取出宫内节育器,25例(41.67%)存在取出宫内节育器困难。其中8例节育器取出困难,且取出后变形,另有4例取出后断裂,4例节育器环嵌顿。实验组手术时间,术中出血量等均低于对照组,差异具有统计学意义(P<0.05)。结论对于绝经后的妇女,常规的宫内节育器取出术取出存在困难的可以采用服用尼尔雌醇辅助手术进行。 Objective To investigate the clinical analysis of 120 cases of postmenopausal intrauterine device removal. Methods 120 cases of postmenopausal women who requested removal of IUD were randomly divided into experimental group and control group, 60 cases in each group. Patients in the experimental group received nilestriol 4 mg / d within 2 to 3 days before taking the IUD, while the control group received no special treatment. The two groups of patients history, medication, operation time, blood loss and other indicators of statistical analysis. Results In the experimental group, 49 cases (81.67%) successfully removed the IUD, and 11 cases (18.33%) had difficulties in removing the IUD. Among them, 5 cases of IUDs were difficult to remove and deformed after removal, and 2 cases were removed after fracture. In the control group, 35 cases (58.33%) successfully removed the IUD, and 25 cases (41.67%) had difficulty removing the IUD. Among them, 8 cases of IUDs were difficult to remove, and were deformed after removal. In 4 cases, they were removed after fracture, and 4 cases were incarcerated. The operation time and blood loss in the experimental group were lower than those in the control group, the difference was statistically significant (P <0.05). Conclusions For postmenopausal women, conventional intrauterine devices removed during surgery are difficult to take with nilestriol-assisted surgery.