尼尔雌醇在绝经后取宫内节育器中的应用

Application of nilestriol in removing out intrauterine device in postmenopausal women

目的:探讨绝经后取宫内节育器前服用尼尔雌醇片的价值。方法:148例绝经后要求取出宫内节育器的妇女,随机分成两组,一组为直接取器组73例,按常规方法直接取出宫内节育器;另一组为服药组75例,顿服4 mg尼尔雌醇片1周后再取出宫内节育器,2组均在B超监测下取器。结果:直接取器组取器成功率为85%,用药组取器成功率为100%,两组有显著性差异(P<0.05)。结论:对于绝经后妇女,直接取器易造成IUD取出困难及失败,通过术前服用尼尔雌醇改善宫颈条件,可以提高取环的成功率。

Objective： To study the effects of nilestriol taken orally before removing out the intrauterine device （IUD） in postmenopausal women. Methods： A randomized comparative study was conducted in 148 postmenopausal women who wanted to remove out IUD. Women were randomly divided into two groups： in group one women were （n=73） removed out the IUD immediately, in group two （n=75） women took nilestriol 4 mg orally, and a week later their IUD were removed out. Two groups women were examined by ultrasonography. Results： In group one 85% of IUD were removed out successfully, and in group two 100% of the IUD were removed out, having significant difference in two groups （P 〈 0. 05 ） . Conclusion： Nilestriol taken orally is an optimal method for postmenopansal periodic woman before removing out IUD and could improve the successful rate.