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目的:探讨绝经后取宫内节育器(IUD)中米索前列醇片配伍盐酸丁卡因胶浆的应用价值。方法:对68例绝经后要求取宫内节育器妇女患者随机分成治疗组35例,术前2小时引导后穹窿放置米索前列醇片400ug,术中在宫颈口及宫颈管内涂上盐酸丁卡因胶浆后再取宫内节育器。对照组33例,按常规方法直接取出宫内节育器。结果:治疗组成功率为100%,宫颈口完全松弛32例,对照组成功率为81.8%,两组比较差异有统计学意义(P<0.05)。结论:绝经后妇女直接取器易造成IUD取出困难、失败、疼痛明显,通过术前阴道放置米索前列醇片及应用丁卡因胶浆改善宫颈条件,宫颈局部用米索前列醇片及丁卡因可明显提高取环成功率。
Objective: To investigate the clinical value of misoprostol tablets combined with tetracaine hydrochloride in IUD. Methods: Sixty-eight patients with postmenopausal women who were asked to take IUD were randomly divided into treatment group (n = 35). Two hours before operation, 400 ug misoprostol tablets were placed in the fornix and intraoperative dosing Due to glue and then take IUD. Control group, 33 cases, according to the conventional method directly remove the IUD. Results: The success rate of the treatment group was 100%, the cervix was completely relaxed in 32 cases, the control group success rate was 81.8%. There was significant difference between the two groups (P <0.05). CONCLUSIONS: In the postmenopausal women, it is difficult to remove the IUD directly due to the difficulty in taking the IUD. The pain and pain are obvious. The misoprostol is applied preoperative vaginal and the cervix condition is improved by the application of tetracaine glue. Misoprostol and D Caine can significantly improve the success rate of taking the ring.