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1 一般资料 1997年1月至1998年1月于门诊要求放置宫内节育器的妇女中,选择无生育史及阴道分娩史者共25例。妇科检查:宫颈未曾扩张,宫口细若针尖,其中年龄最大38岁,最小22岁,其中2例曾放置宫内节育器失败。 2 方法 受术者取膀胱截石位,检查子宫位置,常规消毒并消毒阴道、充分暴露宫颈,并以长鼠齿钳夹,于宫颈3点、9点两侧穹窿处以消毒注射器分别注入2％利多卡因2ml,进针约1cm,以回吸无出血、注入无阻力为可。数分钟后,宫内松驰,探明宫深,以上环器置入宫内节育器,于手术床上休息20min左右,待麻醉作用基本消失后,自由活动即可。
1 General Information From January 1997 to January 1998 outpatients asked to place the IUD in women, choose no history of childbirth and vaginal delivery a total of 25 cases. Gynecological examination: the cervix has not expanded, if the cervix fine needle tip, of which the oldest 38 years old, the youngest 22 years old, of which 2 cases had failed to place the IUD. 2 Methods by the surgeon to take lithotomy position, check the position of the uterus, disinfection and disinfection of the vagina routine, fully exposed cervix, and the rat ratchet clamp at the cervix 3 o’clock, 9 o’clock on both sides of the fornix sterile syringes were injected 2% Lidocaine 2ml, into the needle about 1cm, back to suction without bleeding, no resistance into the injection. A few minutes later, intrauterine relaxation, proven deep Palace, the above ring device into the IUD, rest in the operating bed about 20min until the anesthetic effect disappeared after the free movement can be.