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目的了解宫内节育器(IUD)取出的现状,探讨绝经后IUD取出困难的原因及安全措施。方法将2006年1月至2011年12月期间绝经后要求取出IUD的妇女98例,随机分为两组:观察组48例取IUD前2~3 d顿服尼尔雌醇4 mg;对照组50例未予特殊处理。分别了解病史、用药情况、手术时间、出血量等并进行详细登记。结果观察组38例(79.2%)IUD取出顺利,10例(20.8%)手术有一定难度。对照组28例(56.0%)IUD取出顺利,22例(44.0%)IUD取出困难。观察组手术时间、出血量均低于对照组(P均<0.01);对照组发生宫颈裂伤1例,观察组无副损伤发生。结论常规IUD取出术仍是绝经后取出IUD的首选方法,术前口服尼尔雌醇有助于绝经后困难IUD的取出。
Objective To understand the status of intrauterine device (IUD) removal and to explore the causes and safety measures of difficulty in removing IUD after menopause. Methods A total of 98 women with post-menopausal IUD withdrawal from January 2006 to December 2011 were randomly divided into two groups: 48 in the observation group received 4 mg of nilestriol 2 to 3 days before IUD, while in the control group 50 cases without special treatment. Respectively understand the history, medication, operation time, bleeding and so on and detailed registration. Results In the observation group, 38 cases (79.2%) of the IUDs were successfully removed and 10 cases (20.8%) had some difficulty in operation. Control group, 28 cases (56.0%) IUD removed smoothly, 22 cases (44.0%) IUD removal difficulties. The operation time and the amount of bleeding in the observation group were lower than those in the control group (all P <0.01). In the control group, 1 case had laceration of the cervix and no side injury occurred in the observation group. Conclusions Conventional IUD extraction is still the preferred method of removing IUD after menopause. Preoperative oral nylestriol can help to remove IUD after menopause.