论文部分内容阅读
目的 观察米索前列醇在宫腔镜检查和宫腔镜手术时软化宫颈及镇痛的效果。方法 将行宫腔镜检查的 79例随机分为两组 ,米索前列醇组 4 4例检查前 3小时阴道置米索前列醇 4 0 0 μg ,对照组 35例检查前 3小时阴道置灭滴灵 0 4g。 5 9例宫腔镜电切术术前 3小时阴道置米索前列醇 4 0 0 μg。 结果 宫腔镜检查米索前列醇组人工流产综合征 (PAAS)发生率仅为 9 0 % ,对照组为 6 2 9% ,米索前列醇组明显低于对照组。VAS评分米索前列醇组无痛苦者 9 1% ,轻痛者 2 0 5 % ,中痛者 5 6 8% ,剧痛者 13 6 % ;对照组无痛者 0 ,轻痛者 8 6 % ,中痛者4 2 9% ,剧痛者 4 8 6 % ,两组差异有极显著性。综合评价米索前列醇组 9 1%无痛苦、79 5 %可以忍受、6 8%相当痛苦、仅 4 5 %难以忍受 ;对照组均有痛苦、37 1%可以忍受、另 37 1%相当痛苦、难以忍受者占 2 5 7% ,两组评价有显著性差异。 5 9例宫腔镜电切手术 ,宫颈充分软化 4 9例 (83 1% ) ,软化 8例 (13 6 % ) ,软化不良 2例(3 4 % )。软化不良者均有宫颈粘连。结论 宫腔镜检查或宫腔镜手术前 3小时一次性阴道置米索前列醇4 0 0 μg为方便、有效的软化宫颈的理想方法 ,可缓解有创检查和治疗疼痛 ,减少手术操作 ,值得临床推广应用。
Objective To observe the effect of misoprostol on cervix and analgesia during hysteroscopy and hysteroscopy. Methods Hysteroscopy 79 cases were randomly divided into two groups, misoprostol group 4 4 cases 3 hours before vaginal misoprostol 400 μg, control group 35 cases 3 hours before the test vaginal discharge drops Spirit 0 4g. 5 9 cases of hysteroscopic resection 3 hours before vaginal misoprostol 400 μ g. Results The incidence of hysteroscopic misoprostol-induced abortion syndrome (PAAS) was only 90% in the control group and 62.9% in the control group. The misoprostol group was significantly lower than the control group. VAS score misoprostol group painless 9 1%, mild pain, 25%, pain in 56.8%, 13 6% of pain; Pain in the control group 0, mild pain, 8 6% , Pain in 429%, pain in 486%, the difference between the two groups was extremely significant. Overall, misoprostol was 91% pain free, 79.5% tolerable, 68% painful, and only 45% unbearable; the control group had painful 37 1% tolerable and the other 37 1% was quite painful , Unbearable persons accounted for 25.7%, there was a significant difference between the two groups. In 49 cases of hysteroscopic resection, 49 cases (83.1%) softened the cervix, 8 cases (13.6%) softened, and 2 cases (34%) softened. Poor softening are cervical adhesions. Conclusions Hysteroscopy or hysteroscopy 3 hours before vaginal misoprostol misoprostol 400 000 for the convenient and effective method of softening the cervix ideal to ease the invasive examination and treatment of pain and reduce the surgical operation, it is worth Clinical application.