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目的探讨有利于绝经后妇女取出宫内节育器(IUD)的方法及效果。方法2000年1月至2007年6月间我院收治的要求取出IUD的绝经后妇女67例,根据患者意愿采用倍美力联合米索前列醇软化、扩张宫颈后取IUD 36例为观察组,另外31例采用术中利多卡因宫颈局部阻滞麻醉后取IUD为对照组,观察术中宫颈扩张程度、取器成功率、疼痛程度、出血量、手术时间、术后阴道流血时间。结果观察组宫颈扩张程度、取器成功率、手术时间、术后阴道流血时间与对照组比较差异有统计学意义;疼痛程度、术中出血量差异无统计学意义。结论倍美力联合米索前列醇用于绝经后妇女取IUD安全、有效、副作用少。
Objective To explore the method and effect of removing IUD in postmenopausal women. Methods From January 2000 to June 2007, 67 cases of postmenopausal women who were admitted to our hospital who requested removal of IUD were treated with Beomei combined with misoprostol according to patients’ wishes. 36 cases of IUD after dilatation of cervix were selected as observation group, The other 31 cases were treated with intraoperative lidocaine cervical blockade IUD as control group. The degree of cervical dilatation, the success rate of the device, the degree of pain, the amount of bleeding, the operation time and the postoperative vaginal bleeding time were observed. Results The degree of cervical dilatation, the success rate of operation, the operation time and the postoperative vaginal bleeding time in the observation group were significantly different from those in the control group. There was no significant difference in the degree of pain and the amount of intraoperative blood loss. Conclusions The combination of beemeline and misoprostol for IUD in postmenopausal women is safe, effective and has few side effects.