戊酸雌二醇配伍利多卡因用于绝经后取节育环96例剖析.docVIP

戊酸雌二醇配伍利多卡因用于绝经后取节育环96例剖析 　　doi：10.3969/j.issn.1007-614x.2014.3.33 　　摘 要 目的：探讨戊酸雌二醇配伍利多卡因在绝经后取出节育环应用中的临床效果。方法：将绝经后取节育环者随机分成两组，观察组给予口服戊酸雌二醇配伍利多卡因，对照组给予常规取环，每组48例，对两组宫颈软化情况、手术时间、出血量，及成功取出节育环率进行比较。结果：两组宫颈软化扩张程度及取出节育环成功率两组比较，差异有统计学意义（P0.01），观察组手术时间短、术中出血量少、成功率高，明显优于对照组。结论：戊酸雌二醇配伍利多卡因用于绝经后妇女节育环取出，取环成功率高，减轻了患者的痛苦，使用方便，不良反应少。 　　关键词 节育环 戊酸雌二醇配伍利多卡因 绝经 　　Estradiol valerate compatibility Lidocaine for taking ring from 96 postmenopausal women 　　Guo Caixia，Wang Jinfang，Han Yanmin 　　Tenth Peoples Hospital of Zhengzhou City Henan province，450000 　　Abstract Objective：To investigate the clinical effects of the compatibility of lidocaine and estradiol valerate in IUD removing the from postmenopausal women.Method：Take IUD after menopause were randomly divided into two groups，the observation group received oral estradiol valerate and lidocaine compatibility，the control group received conventional take the ring，each 48 cases，two groups of cervical softening，the operative time，blood loss，and the rate of success IUD removed were compared.Results：The two groups of cervical dilation and softening IUD removed success rate between the two groups，the difference was statistically significant（P0.01），the observation group shorter operative time，less blood loss，a high success rate，significantly better than the control group.Conclusion：estradiol valerate compatibility sterile lidocaine for post-menopausal womens day ring out，take the success rate of the ring，to alleviate the suffering of patients，easy to use，less side effects，should be widely applied. 　　Key words IUD；Estradiol valerate lidocaine compatibility；Menopause 　　宫内放置节育器仍是广大育龄妇女采取的避孕方法，绝经后妇女由于体内雌孕激素水平下降，卵巢功能慢慢衰退，生殖器官萎缩，常出现节育环嵌顿、错位，造成取环困难甚至失败，所以绝经后取环是一项困难较大的计划生育手术[1]。为寻求一种安全、操作简单、易被广大妇女接受的可靠取出节育环的方法，2009年8月-2013年8月收治绝经后要求取出节育环妇女96例，取环术前口服戊酸雌二醇，术中应用利多卡因，软化宫颈后在B超引导下取环，取得满意效果，现报告如下。 　　资料与方法 　　一般资料：2009年8月-2013年8月收治绝经后要求取出节育环妇女96例，绝经1～8年，年龄46～60岁，置节育环15～35年，节育环类型均为金属单环，将其随机分成观察组48例和对照组48例，观察组给予口服戊酸雌二醇配伍利多卡因，对照组给予常规取环。术前询问病史，常规妇科检查，无