论文部分内容阅读
目的将卡前列甲酯栓用于绝经后妇女宫内节育器(intrauterine contraceptive device,IUD)取出术。方法将2009年1月至2011年10月绝经时间5年以上、放置IUD的妇女按随机表法分成观察组与对照组各60例。观察组于术前2小时阴道后穹窿放置卡前列甲酯栓(0.5mg)1枚;对照组则不用任何药物。结果观察组42例取IUD顺利,17例扩张宫颈后取出,1例因IUD嵌顿子宫肌层较深,转外院行宫腔镜手术;对照组31例顺利取出IUD,18例扩张宫颈后取出,11例宫颈萎缩探针不能通过,或宫颈萎缩不明显但不能扩张。观察组取器成功率明显高于对照组,差异有统计学意义(P<0.05)。结论术前2小时使用卡前列甲酯栓后取器,取出成功率高,效果良好,可在临床上推广使用。
OBJECTIVE: Cardiopulmonary prosthesis suppository is used for the removal of intrauterine contraceptive device (IUD) in postmenopausal women. Methods From January 2009 to October 2011, women with postmenopausal period of more than 5 years who placed IUD were randomly divided into observation group (60 cases) and control group (60 cases). In the observation group, 1 card of methimazole suppository (0.5 mg) was placed in the vaginal fornix 2 hours before surgery, and no drug was used in the control group. Results In the observation group, 42 cases were successfully treated with IUD, 17 cases with cervical dilatation and 1 case with IUD incarcerated. The control group received hysteroscopy in 31 cases, and IUD was removed in 31 cases in control group. 11 cases of cervical atrophy probe can not pass, or cervical atrophy was not obvious but not expansion. The success rate of the observation group was significantly higher than the control group, the difference was statistically significant (P <0.05). Conclusions 2 hours before surgery, the use of captopril suppositories, remove the high success rate, the effect is good, can be widely used in clinical practice.