宫腔镜下两种方法在取出残留环中的临床应用

Clinical observation of two methods for taking out residual IUD before hysteroscopy

目的:探讨宫腔镜下米索前列醇、卡孕栓在取出残留环中的临床效果。方法:将常规取环失败后的患者随机双盲法分为三组,治疗组分别是40例米索阴道给药后宫腔镜取环,32例卡孕栓阴道给药后宫腔镜取环,对照组是36例予甲硝唑上药后用宫腔镜取环,观察宫颈软化程度、手术时间以及镇痛效果的比较。结果:第一、二组分别与第三组比较均有统计学意义(P<0.05),第一、二组相比无统计学意义(P>0.05)。结论:阴道放置米索、卡孕栓软化宫颈效果确切,手术时间短,镇痛效果好。

Objective:To explore the clinic effect of misoprostol and carboprost methylate suppository for taking out residual IUD in hysteroscopy.Methods:108 patients of residual IUD were randomly divided into three groups,misoprostol group 40 cases which misoprostol tables 400ug was placed in post-fomix 3 hours before examination,carboprost methylate suppository group 32 cases which carboprost methylate suppository 1mg was placed in post-fomix 3 hours before examination,contrast group 48 cases which metronidazole 0.40g was also placed in post-fomix 3 hours before examina-tion.Pain self-feeling,operating time and neck of uterus softening and expanding were observed after taking out IUD in hysteroscopy,Results:Compared to contrast group,misoprostol group and carboprost methylate suppository group show difference(P<0.05) in the analgesia effect,operating time and laxation of the cervix.Conclusion:Vagina misoprostol and carboprost methylate suppository used for the analgesia effect and dilatation of the cervix before hysteroscope operation are safe and effective,and they also reduce the need for intraoperative cervical dilation.