摘要
目的探讨尼尔雌醇和米索前列醇在绝经后妇女取环中的临床效果，预防绝经后取环并发症的发生。方法选择2005年3月～2009年12月在我院受术取器绝经后妇女220例，随机分观察组120例，对照组100例。观察组手术前1周顿服尼尔雌醇4mg，术前2小时阴道后穹窿放置米索前列醇400g，卧床休息；对照组不用任何药物，两组均按常规取器。结果观察组在取器效果、降低并发症等方面均优于对照组。结论尼尔雌醇和米索前列醇配伍在绝经后妇女取环应用中，明显降低了取器失败及取器困难发生率，缩短了手术时间，减轻了受术者的痛苦，提高了取器成功率，减少了不良反应及并发症的发生。
Objective ： Nylestriol of misopmstol to take part in post-menopausal women in the clinical effects, prevention of post- menopausal IUD complications.Methods： Select March 2005 - December 2009 in our hospital by patients taking device 220 cases of post- menopausal women were randomly divided 120 patients observed, the control group of 100 cases. Observation group 1 week before surgery Dayton nylestriol 4mg, 2 hours before surgery, after vaginal fornix misoprostol 400 g, bed rest; the control group without any drug, device groups as a routine check. Results： Observer Group in intrauterine device effects, complications were lower than the control group .Conclusions ： Misoprostol nylestriol postmenopansal women taking part in the application, significantly reduces the IUD and intrauterine device difficult incarceration rate, shorter operative time, reduced the pain by the surgeon to improve the success of taking part rate, reducing adverse reactions and complications.
