卡前列甲酯栓与Foley导尿管在宫腔镜电切术前扩张宫颈的疗效和安全性比较

Comparison of the Efficacy and Safety of Carboprost and Foley Catheter for the Expand Cervix before Hysteroscopic Electric Resection

目的:比较卡前列甲酯栓与Foley导尿管在宫腔镜电切术前扩张宫颈的疗效和安全性。方法:80例行宫腔镜电切术患者随机均分为研究组和对照组。研究组患者于宫腔镜电切术前30 min在阴道后穹窿放置卡前列甲酯栓1 mg;对照组患者于宫腔镜电切术前12 h在宫颈管放置Foley导尿管。观察两组患者宫颈软化程度、平均手术时间、术前疼痛程度、术后病率数及不良反应发生情况。结果:两组患者宫颈软化程度、术后病率数、不良反应发生率比较,差异均无统计学意义(P>0.05)。研究组患者平均手术时间、术前疼痛程度均显著优于对照组,差异均有统计学意义(P<0.05)。结论:卡前列甲酯栓与Foley导尿管在宫腔镜电切术前扩张宫颈的疗效和安全性均较好,但卡前列甲酯栓在平均手术时间、术前疼痛程度方面优于Foley导尿管。

OBJECTIVE： To observe the efficacy and safety of carboprost and Foley catheter for the expand cervix before hys- teroscopic electric resection. METHODS： 80 patients with hysteroscopic operation were randomly divided into research group and control group. Research group was placed inside the vagina carboprost 1 mg 30 minutes before operation; control group was placed inside the Foley catheter 12 hour before operation. The relaxation degree of the cervix, average operative time, preoperative pain, postoperative morbidity and incidence of adverse reactions in 2 groups were observed. RESULTS： There were no significant differ- ences in the relaxation degree of the cervix, postoperative morbidity and incidence of adverse reactions between 2 groups （P〉 0.05）. The average operative time and preoperative pain in research group were significantly better than control group, the differ- ence was statistically significant（P〈0.05）. CONCLUSIONS： Carboprost and Foley catheter have good efficacy and safety for ex- pand cervix before hysteroscopic electric resection, however, carboprost is better than Foley catheter in terms of average operative time and preoperative pain.