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1、三种方法用于绝经后IUD取岀的临床效果分析［摘要］目的探寻绝经后TUD取出的安全、有效、简便、易行的方法。方法将248名来门诊要求取坏的绝经后带器妇女随机分为三组，术前均行妇科检查,B超确定IUD的位置及情况。A组85例：术前给予服用补佳乐5mg/d,共5d,第6天来我中心门诊取环，术前3h阴道放置米索前列醇400Ug；B组83例，术前3h阴道放置米索前列醇400pg;C组80例：未用任何药物行常规取环术。结果对三组方法进行效果分析,A组与13组、C组在宫颈软化、术中痛苦程度、取器结果等方面进行比较，差异有显著性(P<0.
2、05)。B组与C组在宫颈软化、术中痛苦程度、取器成功率等方面进行比较，差异有显著性(P<0.05)o结论补佳乐联合米索前列醇用于绝经后IUD的取出，既方便又可以明显减少术中病人的痛苦程度，可以明显提高取器成功率，是一种较为理想的绝经后TUD的取出方法。［关键词］补佳乐；米索前列醇；绝经后；宫内节育器［中图分类号］R169.4［文献标识码］A［文章编号］1673-9701(2010)07-30-02ClinicalEffectAnalysisofThreeMethodsUsedtoTakeoutofIUDfromthePos
3、tmenopausalWomenZHANGChunhuaReproductiveIlealthCenterofQianjiangDistrictofChongqing,Chongqing409000,China[Abstract]ObjectiveToexplorethesafe,effective,convenientandeasymethodusedtotakeoutofIUDfromthepostmenopausalwomen.Methods248postmenopausalwomenwithIUDwererando
4、mlydividedintothreegroups,andpreoperativegynecologicexaminationandultrasonographweredonetodeterminethepositionandsituationofTUD.Agroupof85patientswithpreoperativegiving卩rogynova5mg/dayfor5days,andIUDwastakenoutonthesixthday,400ugMisoprostolwerelayedasidethevaginao
5、npreoperative3hour.Bgroupof83patientswerelayedaside400ugMisoprostolbythevaginaonpreoperative3hour.Cgroupof80patientsweretakenoutofTUDbyroutinemethodwithoutanymedicine.ResuItsTheeffectanalysistothreemethodswascarriedon.AgroupcomparedtoBgroupandCgroup,thereweresigni
6、ficantdifference(P<0.05)inthecervicalsoftening,thedegreeofpainintheoperationandtheachievementratio.AndthereweresignificantdifferencesbetweenBgroupandCgroup(P<0.05).ConelusionRrogynov且combinedwithMisoprostolusedtotakeoutofIUDfromthepostmenopausalwomen,whichbothfaci
7、litatesandmayreduceobviouslythedegreeofpatient'spainintheoperation,且ndmayenhancesignificantlyoutofIUDfromthepostmenopausalwomen・[Keywords]Progynova;Misoprosto;Postmenopausal;Tntrauterinecontraceptivedevice(TUD)目前我国绝大多数已婚育龄妇女皆采取放置宫内节育器(IUD)的方法避孕，且很多早年放置IUD的妇女已相继进入围
8、绝经期或绝经期。绝经后由于卵巢功能衰退，雌激素水平下降，容易引起阴道、子宫萎缩，宫颈萎缩变硬，宫颈管狭窄粘连,子宫体萎缩。因此在绝经后TUD取出术中常遇到宫颈暴露、宫腔探查及IUD取岀困难。另外很多妇女对绝经后取环的必要性认识不足或畏惧、紧张等因索，临床上常有绝经1年后甚至20余年方行IUD取出术的患者
