绝经后不同宫内节育器取出方法的比较

目的: 比较不同IUD取器方法取出成功率。方法: 将 118名绝经后带器妇女随机分为 3组, 直接取器组、术前补充雌激素和米索前列醇既用药组、宫腔镜组。结果: 3组IUD取出成功率分别为 87 .2%、97. 4%和 100 .0%, 直接取器组与术前用药组和宫腔镜组相比, 差异有显著性 (P<0 .05), 而术前用药组与宫腔镜组之间无明显差别 (P>0. 05)。结论: 对于绝经后妇女, 直接取器易造成IUD取出困难, 通过术前用药改善宫颈条件和宫腔镜下取器均可明显提高取器成功率, 术前用药和宫腔镜成功率无明显差异, 但宫腔镜对困难IUD的取出有独到作用。

To compare success rates in removing of IUDs by alternative strategies in post menopausal women

Objective:To compare success rates in removing of IUDs by alternative strategies in postmenopausal women. Methods:A total of 118 postmenopausal women with IUD were randomly assigned to direct removing, treated with estrogen and misoprostal before removing, remove under the hysteroscopic guide.Results:The rates of removing IUD once were 87.2%, 97.4% and 100%, respectively. The rates in drug -treated group and hysteroscopic group were higher than that in direct group(P<0.05), but there was no difference between the two groups.Conclusion:Remove of IUD after treatment with estrogen and misopostal and remove of IUD under hysteroscopic guide could reduce IUD removing failure greatly. Moreover, hysteroscopy had an important role for difficult cases.