CAJ | 학술논문

　　目的观察B超监视下对绝经后妇女实施宫内节育器（ IUD）取出术的临床应用效果。方法选取无禁忌证的初次取器绝经妇女160例，随机分为观察组（78例）和对照组（82例）。观察组在B超监视下取器，对照组在无B超监视下取器，比较两组患者手术效果。结果两组患者在取器成功率、手术时间、术中出血量、术后出血天数和术后感染率等方面比较，差异均有统计学意义（ P＜0.05或＜0.01）。结论绝经后妇女在B超监视下实施IUD取出术，能提高成功率、缩短手术操作时间和减少并发症的发生。
　　목적관찰B초감시하대절경후부녀실시궁내절육기（ IUD）취출술적림상응용효과。방법선취무금기증적초차취기절경부녀160례，수궤분위관찰조（78례）화대조조（82례）。관찰조재B초감시하취기，대조조재무B초감시하취기，비교량조환자수술효과。결과량조환자재취기성공솔、수술시간、술중출혈량、술후출혈천수화술후감염솔등방면비교，차이균유통계학의의（ P＜0.05혹＜0.01）。결론절경후부녀재B초감시하실시IUD취출술，능제고성공솔、축단수술조작시간화감소병발증적발생。
Objective To evaluate the method of removing intranterine device (IUD) in postmenopausal women under the guide of B-ultrasound.Methods One hundred and sixty patients who accepted the operation first time without contraindications , were randamly divided into two groups .Seveney-eight pcdients in obseruation group were done under the guide of B-ultrasound;but eighty-two patients in control group without B-ultrasound .The effects of operation in two groups were compared .Results There were statistical differences in the success rates , the opera-tion times, the volumes of intraoperative hemorrhage , the days of postoperative hemorrhage and the risks of infection after operation , between the two groups ( P<0.05 ) .Conclusion Applying B-ultrasound during removing IUD in postmenopausal women is significantly better than common operation .