CAJ | 학술논문

目的：探讨戊酸雌二醇联合卡孕栓在绝经后取环术中应用的临床效果。方法选取我院2010年10月～2012年10月收治的174例待取环的绝经期妇女，根据患者入院时间的先后顺序分为对照组和观察组，每组各87例。观察组于取环前5d口服戊酸雌二醇，再于术前1h阴道后穹窿放置卡孕栓1mg，然后常规取环。对照组采用传统扩宫后取环，不用任何药物。分析两组宫颈软化情况及取环成功率。结果观察组宫颈软化率为94.32%，观察组IUD取出率为97.72%，对照组IUD取出率为75.00%。两组取出率经统计学分析有统计学意义（P＜0.01），取环后患者无并发症发生。结论本研究对绝经后取环妇女取环前5d口服戊酸雌二醇，再于术前1小时阴道后穹窿放置卡孕栓1mg，取环成功率达97.72%，能有效减轻患者的痛苦，使手术较易进行，副作用少，有一定的临床应用价值。
목적：탐토무산자이순연합잡잉전재절경후취배술중응용적림상효과。방법선취아원2010년10월～2012년10월수치적174례대취배적절경기부녀，근거환자입원시간적선후순서분위대조조화관찰조，매조각87례。관찰조우취배전5d구복무산자이순，재우술전1h음도후궁륭방치잡잉전1mg，연후상규취배。대조조채용전통확궁후취배，불용임하약물。분석량조궁경연화정황급취배성공솔。결과관찰조궁경연화솔위94.32%，관찰조IUD취출솔위97.72%，대조조IUD취출솔위75.00%。량조취출솔경통계학분석유통계학의의（P＜0.01），취배후환자무병발증발생。결론본연구대절경후취배부녀취배전5d구복무산자이순，재우술전1소시음도후궁륭방치잡잉전1mg，취배성공솔체97.72%，능유효감경환자적통고，사수술교역진행，부작용소，유일정적림상응용개치。
Objective To study the clinical effects of estradiol valerate united carboprost in the removal of intrauterine device(IUD) in postmenopausal women. Methods 174 postmenopausal women for removal of IUD were collected form Yan’an Hospital of Kunming City from 2010-10 to 2012-10. All of them were divided into study group and control group, 87 cases for each. The study group was given estradiol valerate 5 days before the operation and 1mg carboprost had been placed in posterior fornix of vagina 1 hour before the operation. The control group had not been given any treatments. Evaluate the degree of cervical softening and the success ratio of removal of IUD between the two groups. Results The cervical softening rate of the study group was 94.32% and the success ratio of removal of IUD was 97.72%, while the success ratio of removal of IUD of the control group was 75.00%. Conclusion The success ratio of removal of IUD was 97.72%when estradiol valerate combined carboprost were used in postmenopausal women. It can effectively alleviate the suffering of the patients, make the operation easier and less side effects, is worth for clinical application.