B超监测下三种药物用于绝经后IUD取出的临床观察.pdf

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1、临春医学工程2014年5月第21卷第5期·611．·论著·(临床研究)B超监测下三种药物用于绝经后IUD取出的临床观察邓晓燕(广东省高要市人口和计划生育服务站，广东高要526100)【摘要】目的探讨B超监测下欧维婷、米索前列醇和利多卡因应用于绝经后妇女宫内节育器取出的临床效果。方法选择186例绝经后健康妇女，随机均分为三组，三组术前7d均每晚欧维婷阴道用药一次。在B超监测下，A组术前2h阴道后穹窿放置米索前列醇0．4mg，取器时用2％f4多卡因行宫颈旁阻滞麻醉，并用小棉签蘸取2％f4多卡因1mL插入宫颈管内约2cm，3rnin后取器：B组术前2h于阴道后穹窿放置米索前列醇0．4

2、mg后进行取器；C组直接取器。比较三组的宫颈软化情况、术中疼痛程度及取器的术中情况结果三组在宫颈软化、术中疼痛、手术时间、宫颈口大小、出血量方面比较，差异有统计学意义(尸

3、bservationonPostmenopausalIUDRemovalwithThreeKindsofDrugsUnderB-UltrasoundMonitoringDENGXiaoyan(CooyooPopulationandFamilyPlanningServiceCenter,Gaoyao526100,China)【Abstract】ObjectiveToexploretheclinicalefectofpostmenopausalIUDremovalwithovestin，misoprostolandlidocaineunderB-ultrasoundmonitori

4、ng．Methods186casesofhealthypostmenopausalwomenwererandomlyandevenlydividedintothreegroups，andtreatedwithovestinplacedinvaginaonceeverynight7dbeforeoperation．UnderB—ultrasoundmonitoring，groupAhadICUremovedwith2％lidocaineandmisoprostol0．4mg2hbeforeoperation，groupBhadJCUremovedonlywithmisoprost

5、ol0．4mg2hbeforeoperation，andgroupChadICUremoveddirectly．Thecervicalsoftening，intraoperativepainandIUDremovalamongthreegroupswerecompared．ResultsThethreegroupshadstatisticaldiferencesintheextentofcervicaldilation，intraoperativepain，operationtime，cervixsizeandbloodloss<0．05)；thecomparableresul

6、tsoflUDremovalshowedthatgroupAweresignificantlybetterthangroupBandgroupC<0．05)．ConclusionsUnderB-ultrasoundmonitoring，ovestin，misoprostolandlidocaineappliedinpostmenopausalwomenforIUDremovalhastheadvantagesofshorteroperationtime，bettercervicalsoftening，lessintraoperativepain，lessbloodlossand

7、higherSuccessrate．【Keywords】B-ultrasound；Ovestin；Misoprostol；Lidocaine；IUD；Menopause我国育龄妇女使用IUD已经有较长时间，部分人群已经进常，随机分为A组、B组、C组各62例。三组对象的年龄、入绝经期，对于绝经后IUD的取出，临床上常遇到取器困难，孕次、产次、置器时间和绝经时间比较，差异无统计学意义IUD容易发生嵌顿、断裂甚至造成宫颈和子宫的损伤。为了减(P>0．05)，具有可比性。轻受术者的痛苦。本站采用了欧