口服米非司酮配合超声引导用于绝经后取环术的临床效果研究

发布时间：2018-05-20 17:21

本文选题：绝经后取环术 + 米非司酮　；参考：《实用妇科内分泌杂志(电子版)》2016年13期

【摘要】：目的观察口服米非司酮配合超声引导用于绝经后取环术的临床效果。方法按照随机抽取的方式将要求取环的绝经女性125例分为研究组63例与对照组62例。研究组口服米非司酮配合超声引导下取环;对照组给予传统节育环取出术。比较两组宫颈软化及扩张效果、手术指标、取环情况。结果研究组宫颈软化及扩张的总有效率(95.2%)高于对照组(82.2%),差异有统计学意义(P0.05);两组出血量比较,差异无统计学意义(P0.05);研究组手术耗时少于对照组,宫口大于对照组,疼痛VAS评分低于对照组,差异有统计学意义(P0.05);研究组与对照组的取环成功率分别为90.5%(67/63)、79.0%(49/62),差异有统计学意义(P0.05)。结论口服米非司酮联合B超引导用于绝经后取环术,是一种操作方便、取环成功率高、安全性强的方案,值得临床推广。
[Abstract]:Objective to observe the clinical effect of oral mifepristone combined with ultrasound guidance in post-menopausal ring removal. Methods 125 menopausal women were randomly selected and divided into study group (63 cases) and control group (62 cases). The study group received oral mifepristone combined with ultrasound guided ring removal, while the control group received traditional IUD removal. The effect of cervix softening and dilatation, operation index and loop removal were compared between the two groups. Results the total effective rate of cervix softening and dilatation in the study group was higher than that in the control group (82.2%), the difference was statistically significant (P 0.05), there was no significant difference in the amount of bleeding between the two groups (P 0.05), the operation time in the study group was less than that in the control group, and the uterine orifice was larger than that in the control group. The VAS score of pain was significantly lower than that of the control group (P 0.05), and the success rate of ring removal in the study group and the control group was 90.5 / 67 / 63 / 79.049 / 62, respectively, and the difference was statistically significant (P 0.05). Conclusion Oral mifepristone combined with B-ultrasound guidance for post-menopausal ring removal is a convenient, high successful rate of ring removal, safe and worthy of clinical promotion.
【作者单位】：隆尧县计划生育局技术服务站;
【分类号】：R713

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