中外医学研究
中外醫學研究
중외의학연구
CHINESE AND FOREIGN MEDICAL RESEARCH
2014年
11期
16-16,17
,共2页
宫腔镜手术%米索前列醇片
宮腔鏡手術%米索前列醇片
궁강경수술%미색전렬순편
Hysteroscopy procedure%Misoprostol
目的：比较电切宫腔镜术前使用的米索前列醇片两种不同阴道置药方法对手术辅助的疗效。方法：选取笔者所在医院2013年7月份所有进行宫腔镜电切手术且术前放置米索前列醇片患者，共72例，随机分为观察组和对照组，观察组患者的米索前列醇氯化钠注射液蘸湿掰碎后放置后穹隆部，对照组患者的米索前列醇片整颗放置后穹隆部。对比两组患者的宫颈口术中扩张程度、术后出血时间、术后疼痛评分、不良反应等。结果：观察组宫颈软化扩张程度优于对照组，观察组术后出血时间短于对照组，观察组疼痛评分低于对照组。两组上述指标比较差异均有统计学意义(P<0.05)。结论：观察组米索前列醇的使用方法更能有效软化及扩张宫颈，并能缩短术后出血时间，减轻术后疼痛，值得推广。
目的：比較電切宮腔鏡術前使用的米索前列醇片兩種不同陰道置藥方法對手術輔助的療效。方法：選取筆者所在醫院2013年7月份所有進行宮腔鏡電切手術且術前放置米索前列醇片患者，共72例，隨機分為觀察組和對照組，觀察組患者的米索前列醇氯化鈉註射液蘸濕掰碎後放置後穹隆部，對照組患者的米索前列醇片整顆放置後穹隆部。對比兩組患者的宮頸口術中擴張程度、術後齣血時間、術後疼痛評分、不良反應等。結果：觀察組宮頸軟化擴張程度優于對照組，觀察組術後齣血時間短于對照組，觀察組疼痛評分低于對照組。兩組上述指標比較差異均有統計學意義(P<0.05)。結論：觀察組米索前列醇的使用方法更能有效軟化及擴張宮頸，併能縮短術後齣血時間，減輕術後疼痛，值得推廣。
목적：비교전절궁강경술전사용적미색전렬순편량충불동음도치약방법대수술보조적료효。방법：선취필자소재의원2013년7월빈소유진행궁강경전절수술차술전방치미색전렬순편환자，공72례，수궤분위관찰조화대조조，관찰조환자적미색전렬순록화납주사액잠습배쇄후방치후궁륭부，대조조환자적미색전렬순편정과방치후궁륭부。대비량조환자적궁경구술중확장정도、술후출혈시간、술후동통평분、불량반응등。결과：관찰조궁경연화확장정도우우대조조，관찰조술후출혈시간단우대조조，관찰조동통평분저우대조조。량조상술지표비교차이균유통계학의의(P<0.05)。결론：관찰조미색전렬순적사용방법경능유효연화급확장궁경，병능축단술후출혈시간，감경술후동통，치득추엄。
Objective:To compare the curative effect of two different ways in using misoprostol in the virginal before hysteroscopy procedure. Method:Author recruited 72 cases with hysteroscopic surgery which were used misoprostol as pretreatment from July 2013 in author’s hospital,were randomly divided into observation group and control group,in the experiment group,crumbed the tablets and made them wet by sodium Chloride Injection before putting them into the virginal,in the control group,only put the tablets in the virginal.The cervix extension in the procedure,length of bleeding after the hysteroscopy procedure,score of pain after the hysteroscopy procedure,adverse reactions of two groups were compared.Result:The cervix extension in the procedure of observation group was better than control group,the length of bleeding after the surgery of observation group was shorter than control group,the pain score of observation group was lower than control group.The difference between the two groups had statistical significance(P<0.05).Conclusion:The way crumbing the tablets and making them wet by sodium Chloride Injection before putting them into the virginal as pretreatment of hysteroscopy procedure is better than the traditional way in the aspects of cervical softening,can reduce the length of bleeding after surgery and release the pain after the surgery,is worth to be popularized.
