B超监测联合利多卡因用于绝经后妇女取宫内节育器的临床观察

The clinical observation on B-ultrasonography monitoring combined with lidocaine for removal of intrauterine device in postmenopausal women

目的探讨B超监测联合利多卡因用于绝经后妇女取宫内节育器的临床应用效果。方法收集绝经后取器手术198例,随机分为两组,其中观察组为B超监测联合利多卡因取器,共100例;对照组为传统取器手术,共98例。比较两组在取器成功率、宫颈扩张情况、术中疼痛情况、手术时间、术中出血量方面的差异。结果两组在取器成功率、宫颈扩张情况、术中疼痛情况、手术时间和术中出血量方面,观察组优于对照组,差异有显著性(P<0.05)。结论 B超监测联合利多卡因用于绝经后妇女取宫内节育器成功率高、效果显著,能有效地减轻患者的痛苦,提高手术安全性及取器成功率,值得临床应用推广。

Objective To explore the clinical effectiveness on B - Ultrasonography Monitoring Combined with lidocaine for removal of intrauterine device in postmenopansal women. Methods 198 cases of Postmenopausal Women who demanded to take out IUD were divided into two groups randomly. 100 cases in the observed group were treated with B - Ultrasonography Monitoring Combined with Lidocaine. 98 cases in the compared group were treated with intrditional metheds. The successful ratio of removing IUD, the distention of cervix, the degree of pain in operation, the duration of operation and the amount of bleeding were compared between two groups. Results There was higher successful ratio of removing IUD, more distention of cervix, less pain in operation, shorter duration of operation and less amount of bleeding in the obeserved group compared with the compared group （ P 〈 0. 05 ）. Conclusion The observed group can increase the successful ratio of removing IUD. The method of B- Ultrasonography Monitoring Combined with lidocaine would relieve patients distress eficiently, enhance operative safety and the achievement ratio of removing IUD.