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目的:探讨绝经后妇女宫内节育器更有效的取出方法。方法:将绝经后要求取环的患者128例分为3组:A组口服补佳乐,B组阴道放置米索前列醇,C组宫颈局部注射利多卡因。比较3组取器时宫口松弛程度,取器效果。结果:A组宫口软化程度最好,B组次之,两组比较差异有统计学意义(P<0.05),B组与C组比较差异亦有统计学意义(P<0.01)。取器时A组均顺利取出,无操作困难;B组部分取出困难,无取器失败,两组与C组比较差异有统计学意义。结论:绝经后取器口服补佳乐效果最好,对于需尽快取器的患者可给予阴道放置米索前列醇后取器。
Objective: To investigate the more effective method of removing IUD in postmenopausal women. Methods: 128 cases of postmenopausal patients were divided into 3 groups: oral niclosamide in group A, vaginal misoprostol in group B and lidocaine in group C. Compare the 3 groups when the cervix relaxation, take the device effect. Results: The degree of cervix softening in Group A was the best, followed by that in Group B, there was significant difference between the two groups (P <0.05). The difference between Group B and Group C was also statistically significant (P <0.01). A group were successfully removed when taking the device, no difficulty in operation; Part B partial removal difficulties, no failure to take the machine, the two groups and C was significantly different. Conclusion: The best effect of oral administration of norepinephrine after menopause is obtained. Patients who need to take the device as soon as possible can be given vaginal misoprostol after taking the device.