绝经后妇女宫内节育器两种取出方法对比观察

The observation of two methods of taking the intrauterine device in postmenopausal women

目的:对绝经后妇女宫内节育器(IUD)两种取出方法的临床效果进行对比观察,进而提高绝经后需取IUD成功率的方法。方法:绝经后妇女需取IUD共有141例,将其随机分为3组,尼尔雌醇组为47例,服用尼尔雌醇,在服药后第8天取IUD;米非司酮组47例,服用米非司酮,于服药后第4天取IUD;对照组47例术前不用任何药物,按常规进行取器术。观察3组妇女的宫颈软化及扩张情况、取环术中反应和IUD成功率。结果:尼尔雌醇组和米非司酮组分别与对照组相比,在软化扩张宫颈的程度、术中的综合反应程度、一次性成功取IUD的概率上,差异均有统计学意义(P<0.05)。尼尔雌醇组和米非司酮组两组间比较无统计学意义(P>0.05)。结论:尼尔雌醇和米非司酮两种给药方法均适用于绝经后妇女取IUD,都可以明显减轻患者痛苦,减少并发症的发生,从而提高取器成功率。

Objective： To compare the effect of two methods of taking the intrauterine device （IUD） in postmenopausal women, so as to improve the success rate of taking the IUD. Methods： 141 cases postmenopausal women were devided into 3 groups with each group 47 cases. Neil female alcohol group were taken Neff female alcohol, and taken the IUD in 8 days later; Mifepristone influences group were taken Mifepristone influences and taken the IUD in 4 days later; the control group without any drugs, according to the preoperative routine were taken the IUD. Then observed the effect of three groups. Re- suits： Neil female alcohol group and Mifepristone influences groups compared with the control group had the significant difference in the extent of the cervical softening, the comprehensive reaction, the success rate （P〈0.05）. Neil female alcohol group and Mifepristone influences group were no statistically significant （P〉0.05）. Conclusion： Neil female alcohol and Mifepristone influences which can reduce the complications and pain of patients, so as to improve the success rate,are both for taking the IUD.