论文部分内容阅读
目的探讨米索前列醇在绝经后妇女取宫内节育器(下称取环)中临床的应用价值。方法将行绝经后妇女取环术的108例随机分两组,观察组54例采用术前1h用米索前列醇200μg放置于阴道后穹隆后取环;对照组54例术前不作任何处理,直接按常规方法取环。结果观察组使用米索前列醇后宫颈扩张度满意率为92.6%,总有效率为100%;对照组宫颈扩张度满意率为5.6%,取环有效率为48.1%。两组比较,观察组取环效果明显优于对照组,两组差异有非常显著性(P<0.01)。结论绝经后妇女采用术前1h于阴道后穹隆放置米索前列醇能减轻取环困难,减少手术并发症,提高取环成功率,适合绝经后妇女在取环中应用。
Objective To investigate the clinical value of misoprostol in postmenopausal women taking IUD. Methods 108 cases of postmenopausal women were randomly divided into two groups. In the observation group, 54 cases were treated with misoprostol 200μg at 1 hour before operation and placed in the vaginal fornix. The control group received no treatment before operation, Take the ring directly according to the conventional method. Results In the observation group, the satisfaction rate of cervical dilatation after using misoprostol was 92.6% and the total effective rate was 100%. In the control group, the satisfaction rate of cervical dilatation was 5.6% and the efficiency of taking ring was 48.1%. The two groups, the observation group was significantly better than the control group, the difference between the two groups were significant (P <0.01). Conclusion Postmenopausal women with misoprostol placed in vaginal posterior fornix 1h before operation can alleviate the difficulty of taking the ring, reduce the complications and improve the success rate of taking the ring, which is suitable for the postmenopausal women to take the ring.