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目的分析宫腹腔镜在宫内节育器取出困难时的应用效果。方法 72例宫内节育器取出困难患者,随机分为对照组和观察组,各36例。观察组应用宫腹腔镜下取环术,对照组行B超检查后行常规取环术。比较两组取出时间、术中出血量、取出率指标,并比较两组疼痛情况。结果观察组取出时间为(2.17±0.85)min、术中出血量为(5.22±0.63)ml,取出率为97.22%,均分别优于对照组的(4.93±1.34)min、(7.05±0.91)ml、80.56%,差异具统计学意义(P<0.01);观察组疼痛级别Ⅰ度例数多于对照组,Ⅱ度例数少于对照组,差异均具统计学意义(P<0.05)。结论宫腹腔镜在宫内节育器取出困难时的应用效果显著,值得推广应用。
Objective To analyze the effect of laparoscopy in removing intrauterine contraceptive device. Methods 72 cases of intrauterine device removal difficult patients were randomly divided into control group and observation group, 36 cases each. The observation group underwent hysteroscopic laparoscopic surgery, while the control group underwent B-ultrasound examination and conventional revascularization. The two groups were compared, the time of bleeding, the amount of bleeding during operation, the rate of removal, and the pain scores of the two groups were compared. Results The time for the observation group was (2.17 ± 0.85) min and the blood loss was (5.22 ± 0.63) ml and the removal rate was 97.22%, which were all better than those in the control group (4.93 ± 1.34) min and (7.05 ± 0.91) ml and 80.56%, respectively. The difference was statistically significant (P <0.01). The number of grade Ⅰ pain in the observation group was more than that in the control group, and the number of degree Ⅱ was less than that in the control group (P <0.05). Conclusion Laparoscopy in the removal of intrauterine devices difficult to obtain a significant effect, it is worth promoting the application.