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目的:探讨B超引导联合口服米非司酮用于绝经后妇女取出宫内节育环的临床效果。方法:将绝经后要求取出宫内节育环的175例妇女随机分为对照组(n=87)和观察组(n=88),对照组采用传统宫内节育环取出术,观察组采用口服米非司酮联合B超引导实施宫内节育环取出术,比较两组妇女手术时间、术中出血量及取环成功率。结果:观察组手术时间、术中出血量明显低于对照组(P<0.05),且观察组取环成功率明显高于对照组,两组比较差异具有统计学意义(P<0.05)。结论:B超引导联合口服米非司酮用于绝经后妇女取出宫内节育环的临床效果显著,可有效缩短手术时间,降低术中出血量,提高取环成功率,值得推广。
Objective: To investigate the clinical effect of B-guided ultrasound combined with mifepristone for post-menopausal women with IUD removal. Methods: One hundred and seventy-five women who were asked to take IUD after menopause were randomly divided into control group (n = 87) and observation group (n = 88). The control group was treated with traditional IUD. Biphasic anesthesia combined with B-ultrasound guided the intrauterine device to remove the intrauterine device, and compared the operation time, intraoperative blood loss and the success rate of the patients in both groups. Results: The operation time and intraoperative blood loss in the observation group were significantly lower than those in the control group (P <0.05). The success rate of the observation group was significantly higher than that of the control group. There was significant difference between the two groups (P <0.05). Conclusion: The clinical effect of B-guided ultrasound combined with oral mifepristone for post-menopausal women with IUD removal is significant, which can effectively shorten the operation time, reduce the amount of intraoperative blood loss and improve the success rate of loop extraction, which deserves promotion.