米索前列醇在绝经后妇女宫腔镜检查中扩张宫颈的探讨

The study of misoprostol for cervical dilation for menopausal women before hysteroscopy

目的探讨米索前列醇在绝经后妇女宫腔镜检查中扩张宫颈的作用。方法选择我院门诊需行宫腔镜检查的绝经后妇女86例分为两组:米索前列醇组46例,患者行宫腔镜检查前3h肛门放置米索前列醇;对照组40例,宫腔镜检查前2min宫颈注射2%利多卡因。结果米索前列醇组宫颈扩张有效率达84.8%,明显高于对照组的52.5%(P<0.005);米索前列醇组人流综合征的发生率2.2%,低于对照组的15%(P<0.05)。米索前列醇组患者手术疼痛感39.1%,明显低于对照组的80%(P<0.001),差异均有统计学意义。结论宫腔镜检查前3h肛门放置米索前列醇能有效地扩张绝经后妇女宫颈。

Objective To evaluate the effectiveness of anus misoprostol for cervial dilation for menopausal women in hysteroscopy. Methods 86 menopausal women before hysteroscopy were divided into two groups. The misoprostol group（46 cases） were handled with misoprostal through anus. The control group（40 cases） were injected with lidocaine through cervix. Results Compared with the control group, the effective cervial dilatation rate of misoprostol groupwas significantly higher, and the incidence of abortion syndrome was lower. Conclusion Anus misoprostol can significantly facilitate cervial dilation in menopausal women before hysteroscopy.