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目的研究药物扩张宫颈法在绝经期妇女取环术中应用的效果及安全性。方法 200例来诊取环的绝经期妇女,按来院顺序随机分为两组,每组各100例。观察组术前12 h给予口服米非司酮50 mg,对照组术前不服任何药物。分别观察两组宫颈软化及扩张情况、取环综合反应情况、手术时间、失血量以及成功率。结果与对照组相比,观察组受术者的宫颈松弛软化、扩张效果更好,手术时间、取环术综合反应程度以及术中出血量明显减少,且取环顺利率明显提高,两组比较差异有统计学意义(P<0.01或P<0.05)。结论采用药物扩张宫颈法应用于绝经期妇女取环术,效果良好,安全有效,且操作简便,可有效缩短手术时间,减轻患者的痛苦,取环顺利率高。
Objective To study the effect and safety of drug dilatation cervical method in cycloplegia in postmenopausal women. Methods 200 cases of menopausal women diagnosed ring, according to the order of the hospital were randomly divided into two groups of 100 cases each. The observation group was given oral mifepristone 50 mg 12 hours before operation, and the control group received no preoperative medication. Respectively observed two groups of cervical softening and expansion, take the ring comprehensive response, operation time, blood loss and success rate. Results Compared with the control group, the cervix in the observation group was softened and the cervical dilatation softened and the effect of dilatation was better. The operation time, the degree of comprehensive response and the intraoperative blood loss were significantly decreased, The difference was statistically significant (P <0.01 or P <0.05). Conclusions The method of dilatation of cervix by the method of cervical dilatation is effective and safe in menopause women. It is simple and easy to operate, which can shorten the operation time and relieve the suffering of patients.