尼尔雌醇、卡孕栓与利多卡因用于绝经后取环的临床比较

目的探讨尼尔雌醇、卡孕栓与利多卡因用于绝经后取环的临床比较。方法对270例绝经后取环的妇女进行回顾性分析，随机分3组，A组取环前1周顿服尼尔雌醇6mg；B组取环前2h卡孕栓1枚（PG051mg）置阴道后穹窿；C组常规消毒后，在宫颈旁行利多卡因阻滞麻醉，3min后行取环术。结果A、B两组疗效优于C组。结论口服尼尔雌醇、阴道后穹窿置卡孕栓用于绝经后妇女取环扩宫及软化宫颈效果好、手术时间短、成功率高。

Comparative study on clinical effects of Nylestriol, Carboprost methylate and Lidocaine in removal of IUD

Objective To investigate the different clinical effects of Nylestriol, Carboprost inethylate （PG05） and Lidocaine in removal of IUD. Methods Two hundreds and seventy postinenopausal women who removed IUDs had been studied retrospectively . They were randomly divided into there groups. Group A： Taking the Nylestriol （6mg） in the one week before the procedure. Group B： PG05 （1mg） was put into the vagina at the tow hours before the procedure . Group C ： During the beginning of the procedure, Lidocaine was injected into both sides of the cervix for local anesthesia. There minutes later, IUD was removed. Results The effects of the first two methods were better than the last one. Conclusion Taking Nylestriol and putting PG05 into vagina have good effects on improving dilation and softening of the cervix, which will shorten the procedure time.