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目的探讨绝经后妇女安全取出宫内节育器(IUD)的有效方法。方法对68例绝经后妇女要求取出IUD无用药禁忌证者中34例取环术前给予尼尔雌醇2mg顿服,1周后取环,取环术前2h阴道后穹隆放置米索前列醇400μg;另34例不用任何药物,口头安慰后施术。结果两组术中疼痛、术中全身不良反应等观察组均较对照组明显减轻。结论尼尔雌醇联合米索前列醇术前应用,可明显改善宫颈条件,减轻患者的痛苦,是提高绝经后妇女取出IUD成功率,减少并发症安全、有效的方法之一。
Objective To explore an effective method for safely removing an IUD in postmenopausal women. Methods Sixty-four postmenopausal women were asked to take out IUD drug-free contraindications in 34 patients before taking preoperative nylestriol 2mg Dayton clothing, 1 week after the ring, preoperative 2h vaginal vaginal fornix placed misoprostol 400μg; the other 34 cases without any drugs, oral comfort after surgery. Results The two groups of intraoperative pain, systemic adverse reactions such as observation group were significantly reduced compared with the control group. Conclusion Preoperative application of nylestriol and misoprostol can significantly improve cervical conditions and alleviate the pain of patients. It is one of the methods to improve the success rate of IUD and reduce the complications in postmenopausal women.