尼尔雌醇配伍米索前列醇用于绝经后妇女取器术临床分析

Clinical Analysis of the Use of Nilestriol Combined With Misoprostol in Removal of Intrauterine Device in Postmenopausal Women

目的 :减轻摘取绝经后妇女宫内节育器时的痛苦 ,减少并发症的发生 ,提高取器成功率。方法 :尼尔雌醇5mg,顿服 ,d7米索前列醇400μg 置阴道内4h～6h后取器。结果 :实验组 (78例 )中仅1例有宫颈牵拉伤 ,且均以常规法取器 ;对照组 (30例 )中有10例以常规法取器 ,15例在扩宫后取器 ,5例取器失败后改用实验组方法。结论 :应用尼尔雌醇配伍米索前列醇用于绝经后妇女取器 ,可减少其痛苦 。

OBJECTIVE:To alleviate patient's suffering,and to prevent the complications and to raise the success rate of intrauterine device removal in postmenopausal women.METHODS:After a single oral dose of5mg nilestrial and7days later,400μg misoprostol intravaginal application for4～6h,the device was removed.RESULTS:In trial group(78cases),all devices were removed with routine procedure,only one case had cervical trauma.In control group(30cases).10cases had devices remo_ ved with routine procedure,15cases had devices removed after dilatation of cervix and5cases finally had device removed with trial scheme after removal failure.CONCLUSION:Application of nelestriol plus misoprostol to intrauterine device removal could alleviate the postmenopausal woman's suffering and raise the success rate of procedure.