倍美力配伍米索前列醇在绝经后妇女取环中的应用

目的:探讨倍美力和米索前列醇在绝经后妇女取环中的作用。方法:90例要求取环的绝经后妇女随机分为倍美力+米索前列醇组、米索前列醇组和对照组,观察各组宫颈软化扩张程度、手术时间、出血量和成功率。结果:倍美力+米索前列醇组和米索前列醇组、对照组比较,宫颈扩张效果好(P<0.01),手术时间短(P<0.01),出血量少(P<0.01),3组取环的成功率分别为100.00%、83.33%和60.00%。结论:绝经后妇女取环前应用倍美力和米索前列醇能有效扩张宫颈、缩短手术时间、减少术中出血,减轻患者痛苦。

The use of Premarin and Misoprostol prior to intra-uterine devices removal Postmenopausal Removing IUD in postmenopausal women

Objective:To evaluate the using of orally Premarin and Misoprostol for removing intra-uterine devices in postmenopausal women.Methods:90 postmenopausal women requesting removing intra-uterine devices were divided into three groups.Group1:oral Premarin 625μg for 7 days and Misoprostol 400μg 1 hour before the surgery;Group 2:oral Misoprostol 400μg 1 hour before the surgery;and control group.The cervical dilation,operation time,amount of bleeding during the operation,and success rate were observed.Results:The cervical dilation in Group 1 was larger than that in both Group 2 and control group(P<0.01).The operation time and the amount of bleeding in Group1 were less than those in both Group 2 and control group(P<0.01).The success rate in each group was 100%,83.33%,60%.Conclusion:Orally Premarin and Misoprostol prior to removing intra-uterine devices can dilating the cervix,short the operation time and decrease the amount of bleeding.