妇女绝经后宫内节育器取出困难的临床分析

Clinical analysis of the difficulty of removing the intrauterine device in postmenopausal women

目的:探讨减轻绝经后妇女宫内节育器(IUD)取出困难的方法。方法:将我站795例取IUD绝经后妇女的临床资料进行对比分析。取IUD前未用辅助药组(519例)和使用辅助药组(276例)的不同绝经期(绝经≥6个月和绝经<6个月)妇女取器困难率(包括困难取出和未取出)进行比较;495例绝经≥6个月妇女中未用和使用辅助药取器困难率(包括困难取出和未取出)进行比较。结果:术前未用辅助药组绝经≥6个月比绝经<6个月妇女取器困难率高,差异有统计学意义。术前用辅助药组绝经≥6个月和绝经<6个月妇女取器困难率比较,差异无统计学意义。绝经≥6个月妇女中术前用药比不用药妇女取器困难率高,差异有统计学意义。结论:停经6个月以内的绝经妇女IUD顺利取出率高,绝经时间过长(≥6个月),在取器前加用辅助药,可降低取器困难率。

Objective：To study the method of reducing the difficulty of removing the intrauterine device （IUD） in postmenopausal women.Methods：The clinical data in 795 menopausal women of removing IUD in our clinic were analysed comparatively.The difficult rates of removing IUD were compared in 519 menopausal women at different climacterium （menopause ≥6 months and menopause〈6 months）without the aid of auxiliary medication before operation and 276 case in the same condition with auxiliary medication,the comparison of the difficult rates in 495 cases （menopause ≥6 months） without or with auxiliary medication was also done.Results：The difficult rate of removing IUD in menopausal women （menopause ≥ 6 months） without the aid of auxiliary medication before operation was high compared with that in menopausal women （menopause 〈6 months）,with a statistical difference between them.The difference of the difficult rates of removing IUD among the menopausal women（menopause ≥ 6 months）with or without auxiliary medication before operation was statistically significant,but without statistical difference of the difficult rates of removing IUD in the menopausal women（menopause≥6 months） with auxiliary medication and those women （menopause 〈6 months）.Conclusion：The successful rate of removing IUD in the menopausal women （menopause〈6 months） is high and satisfactory,and the difficult rate of removing IUD can be reduced if the opertion is performed on those women（menopause ≥ 6 months） with the aid of auxiliary medication before operation.