發(fā)布時間：2018-05-09 22:43

  本文選題：Lamiken-R宮頸擴張棒 + 宮頸擴張��； 參考：《中國婦產(chǎn)科臨床雜志》2017年04期

【摘要】：目的探討Lamiken-R宮頸擴張棒用于宮腔手術前擴張宮頸的臨床療效及副作用。方法選擇宮內節(jié)育器、妊娠10周內負壓吸引人工流產(chǎn)術、宮腔鏡檢查及手術的患者130例,抽簽法隨機分為兩組,研究組(63例)術前1~2 h宮頸內口放置Lamiken-R宮頸擴張棒;對照組(67例)術前3 h于陰道后穹隆放置米索前列醇0.4 mg。以宮頸無阻力通過Hegar宮頸擴張棒的號碼評估宮頸松弛程度,觀察兩組宮頸擴張效果及副反應。結果研究組成功置入60例,成功率95.2%(60/63);研究組育齡非孕期通過宮頸擴張棒的號碼為(8.07±0.73)號,對照組為(6.39±0.93)號;研究組絕經(jīng)期通過宮頸擴張棒的號碼為(7.47±0.74)號,對照組為(5.00±0.82)號;研究組妊娠早期通過宮頸擴張棒的號碼為(7.85±0.63)號,對照組為(5.95±0.89)號;研究組宮頸擴張效果優(yōu)于對照組(P0.01)。研究組發(fā)生惡心嘔吐、腹痛、腹瀉、陰道出血及發(fā)熱率明顯低于對照組(P0.01);兩組術后體溫正常,無一例發(fā)生感染。結論 Lamiken-R宮頸擴張棒用于宮腔手術前擴張宮頸效果顯著,不良反應少,優(yōu)于傳統(tǒng)的米索前列醇,對女性不同時期擴張宮頸口均有效,值得臨床推廣應用。
[Abstract]:Objective to investigate the clinical efficacy and side effects of Lamiken-R dilatator for cervical dilatation before intrauterine surgery. Methods 130 patients with intrauterine device, suction induced abortion under negative pressure in 10 weeks of pregnancy, hysteroscopy and operation were randomly divided into two groups: study group (n = 63) and cervical dilatation rod (Lamiken-R) was placed at the intrauterine orifice 1 hour before operation. In the control group (67 cases), 0.4 mg of misoprostol was placed in the posterior vagina fornix 3 h before operation. The degree of cervix relaxation was evaluated by the number of cervical dilatator Hegar without cervical resistance, and the effect and side effects of cervical dilatation were observed. Results 60 cases were successfully implanted in the study group, the success rate was 95.2um 60 / 63, the number of cervical dilatator was 8.07 鹵0.73) in the study group and 6.39 鹵0.93 in the control group, and the number of the cervical dilatator was 7.47 鹵0.74 in the study group and 5.00 鹵0.82 in the control group. The number of cervical dilatator was 7.85 鹵0.63 in the study group and 5.95 鹵0.89 in the control group, and the effect of cervical dilatation in the study group was better than that in the control group. The rates of nausea and vomiting, abdominal pain, diarrhea, vaginal hemorrhage and fever in the study group were significantly lower than those in the control group (P 0.01). Conclusion Lamiken-R is more effective than misoprostol in dilating cervix before intrauterine surgery, and it is worth popularizing in clinic.
【作者單位】： 首都醫(yī)科大學附屬北京天壇醫(yī)院婦產(chǎn)科;
【分類號】：R169.42

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