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目的探讨取绝经后宫内金属节育环方法。方法选择绝经后取环病例180例,随机分成3组,每组60例。1组:采用宫颈局部麻醉后取环操作;2组:采用宫颈扩张器扩张宫颈至5号通过后常规取环操作;3组:采用宫颈、宫腔局麻并扩张宫颈至5号通过后行常规取环操作。结果 1组:弱阻力26例,强阻力34例;2组:弱阻力35例,强阻力25例;3组:弱阻力50例,强阻力10例。结论宫颈、宫腔局麻并配合扩张宫颈至5号扩张器通过,取绝经后嵌顿性节育环使阻力降低,时间短,患者无痛苦,成功率高,值得推广应用。
Objective To investigate the method of taking intrauterine metal IUD after menopause. Methods 180 cases of postmenopausal patients were selected and randomly divided into 3 groups, 60 cases in each group. Group 1: Cervical local anesthesia after ring operation; Group 2: cervical dilatation to expand the cervix to No. 5 through the conventional ring operation; 3 groups: the cervix, uterine local anesthesia and cervix to the 5th through the line Conventional loop operation. Results 1 group: weak resistance in 26 cases, strong resistance in 34 cases; 2 groups: weak resistance in 35 cases, strong resistance in 25 cases; 3 groups: weak resistance in 50 cases, strong resistance in 10 cases. Conclusions Cervical and uterine local anesthesia combined with dilatation of cervix through dilator No.5 can reduce the resistance and shorten the time of postmenopausal incarceration. It is worth noting that the patients have no pain and high success rate.