结合雌激素配伍米索前列醇在绝经后妇女取环术中的应用

Using Conjugated Estrogens Together with Misoprostol before Drawing Out IUD from Postmenopausal Women

目的:为了改善绝经后妇女宫内节育器(Interauterine Device,IUD)取出困难的状况,提高手术成功率。方法:对绝经1年以上的妇女实施取环术前应用结合雌激素配伍米索前列醇以改善病人内生殖器官条件,观察手术时病人的反应及手术成功率。结果:施术41人,取环成功40人,成功率97.6％,其中21例(50.3％)无须扩张宫颈,病人亦无明显不良反应。结论:结合雌激素配伍米索前列醇有改善绝经妇女生殖道的紧缩状况,软化、扩张宫颈,减少病人痛苦及术中副损伤,提高手术成功率的作用。该方法简便、副作用小,宜于基层医院应用。

Objective:To improve the difficult condition during drawing out IUD from postmenopausal women and to raise the success rate of the operation.Methods: Using conjugated estrogens together with misoprostol on women who have been postmenopausal for more than one year before performing the operation of drawing out IUD from them and observing their reaction and the result.Result: 41 patients have been performed the operation. 40 cases are successful. The success rate is 97.6%. 21 cases (50.3%)need not dilate cervix during operation and these patients have not bad reaction.Conclusion:Using conjugated estrogens together with misoprostol improves the atrophy condition of the vagina and softens and dilates cervix of postmenopausal women ,reduces the pain and raises the success rate of the operation.The method is simple and has little side effect. So it is suitable for using in general hospital.