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目的 :在绝经后妇女节育环部分嵌顿取环术中分别选择不同的两种药物,对其临床的应用效果进行观察。方法 :选择67例绝经后节育环出现部分嵌顿的患者,分为三组,甲组患者30例,术前给予米非司酮,剂量为50mg,每日2次,持续给药2天,第3日在阴道内塞入米索前列醇,剂量为400μg;乙组患者22例,给予补佳乐,每日1次,持续10天,剂量为1mg/d,对照组15例患者手术前不进行特殊处理,对三组患者临床的表现情况与手术的成功率进行观察并对比。结果 :甲组在手术时间、出血量、成功率、扩张情况以及手术后患者腹痛持续的时间方面均要明显优于乙组与对照组(P<0.05)。结论 :在对绝经后节育环出现部分嵌顿的患者进行取环术时给予患者米非司酮与米索前列醇相联合的治疗方法能够获得十分理想的临床应用效果,不良反应率较小,安全性与成功率高,因此值得在临床中推广并应用。
OBJECTIVE: To select two different kinds of drugs in the partial incarcerated circumcision of the birth control ring in postmenopausal women, and to observe their clinical effect. Methods: Sixty-seven patients with partial incarceration in the control group were enrolled in this study. The patients were divided into three groups: Group A (n = 30), mifepristone (n = 50) given twice a day for 2 days, The third day in the vaginal plug misoprostol, a dose of 400μg; B group of patients in 22 cases, to give nociception, 1 day, for 10 days, a dose of 1mg / d, 15 patients in the control group before surgery No special treatment, the clinical performance of three groups of patients and the success rate of surgery were observed and compared. Results: The operation time, blood loss, success rate, dilatation and duration of postoperative abdominal pain in group A were significantly better than those in group B and control group (P <0.05). Conclusion: The combination of mifepristone and misoprostol in patients with partial incarceration in the postmenopausal birth control ring can obtain a very satisfactory clinical effect, the adverse reaction rate is small, Safety and success rate, so it is worth to promote and apply in clinical.