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目的研究米索前列醇配合持续牵引法在绝经后妇女取环中的临床应用价值。方法把在我院准备行取环术的167例绝经后患者分为A、B两组,A组88例用米索前列醇配合持续牵引法取环。B组79例口服倍美力一周后持续牵引法取环。结果 A组应用米索前列醇使宫颈软化扩张显效率94.5%,总有效率100%,米索前列醇配合持续牵引法取环成功率100%,无环断裂、残留发生。B组宫颈扩张显效率6.3%,总有效率20.2%,取环成功率92%。A、B组比较,A组取环效果明显优于B组,两组比较差异有统计学意义(P<0.05)。结论绝经后妇女采用米索前列醇配合持续牵引法,减少手术并发症,提高取环成功率,适合绝经后妇女在取环中的广泛应用。
Objective To investigate the clinical value of misoprostol with continuous traction in the postmenopausal women taking the ring. Methods One hundred and sixty-seven postmenopausal patients in our hospital were enrolled and divided into A and B groups. 88 patients in group A were treated with misoprostol and sustained traction. Group B, 79 cases of oral bevermectin continued traction after a week to take the ring. Results In group A, misoprostol was used to make the cervix soften and dilate obviously, the effective rate was 94.5%, the total effective rate was 100%. The success rate of misoprostol with misoprostol and continuous traction method was 100%. In group B, the effective rate of cervical dilatation was 6.3%, the total effective rate was 20.2%, and the successful rate of taking the ring was 92%. A, B group, A group was significantly better than the ring B, the difference between the two groups was statistically significant (P <0.05). Conclusions Postmenopausal women with misoprostol with continuous traction method to reduce surgical complications and improve the success rate of loop, suitable for postmenopausal women in the wide range of applications.