摘要
目的:探讨戊酸雌二醇结合1次性宫颈扩张棒取出绝经期妇女宫内节育器的临床效果。方法:宫内有节育器的绝经期妇女240例,随机分为对照组(n=120)和观察组(n=120)。观察组术前口服戊酸雌二醇7 d后,使用1次性宫颈扩张棒取出宫内节育器。对照组直接或用金属扩张棒扩张宫颈后取宫内节育器。观察两组宫颈扩张程度、镇痛效果、取出宫内节育器效果。结果:观察组镇痛、取出宫内节育器效果高于对照组,差异有统计学意义(P<0.05)。两组不良反应没有明显差别。结论:戊酸雌二醇有助于宫颈扩张棒取出绝经期妇女宫内节育器,安全有效。
Objective:To investigate the clinical effect of estradiol valerate combined with one-time cervical dilatation rods for the removal of intrauterine device(IUD)in postmenopausal women.Methods:240 cases of postmenopausal women with IUD were randomly divided into control group(n=120)and observation group(n=120).The observation group was treated with oral estradiol valerate for 7 d before operation,and then the IUD was removed by one-time cervical dilatation rods.In the control group,the IUDs were directly removed,or using metal expansion rods to expand the cervix and then removed.The degree of cervical dilatation,analgesic effect and the effect of IUD removal were observed in the two groups.Results:The effects of analgesia and IUD removal were higher in the observation group than in the control group,the difference was statistically significant(P〈0.05).There were no significant adverse reactions between two groups.Conclusion:Estradiol valerate is helpful for the removal of postmenopausal women IUD with cervical dilatation rod,and it is safe and effective.
作者
孙青
SUN Qing(Beihai City Population and Family Planning Service Center,Beihai 536000,China)
出处
《华夏医学》
CAS
2017年第1期51-54,共4页
Acta Medicinae Sinica
关键词
戊酸雌二醇
宫颈扩张棒
绝经期妇女
宫内节育器
estradiol valerate
cervical dilatation rod
postmenopausal women
intrauterine device
