摘要
目的探讨宫术宁胶棒联合一次性使用导尿管进行绝经后妇女宫腔镜手术前宫颈扩张的应用价值。方法 65例行宫腔镜手术的绝经后患者随机分为3组。A组宫腔镜术前晚宫术宁胶棒软化宫颈后宫颈管放置Foley导尿管;B组宫腔镜术前宫颈管放置Foley导尿管;C组宫腔镜手术前晚阴道后穹窿放置米索前列醇0.4 mg。观察A、B两组患者放置导尿管时难易程度、患者耐受性。观察三组患者宫颈软化程度、平均手术时间、术中出血量及术中膨宫液使用量。结果 A组在宫腔放置导尿管过程中的难易程度、患者耐受性及成功率均优于Β组,差异有统计学意义,P<0.05。三组患者宫颈软化程度、平均手术时间、术中出血量及术中膨宫液使用量比较,差异无统计学意义,P>0.05。结论对需要行宫腔镜手术的绝经后妇女进行术前宫颈软化时,先行使用宫术宁胶棒使宫颈口有一定松弛度,再行宫腔内放置一次性导尿管12 h以上,能够达到良好的宫颈软化的作用。
Objective To investigate the validity of GongShuNing stick combined with Foley catheter for expand cer- vix of postmenopansal woman before hysteroscopy. Methods 65 cases of postmenopausal women with hysteroscopy oper- ation were randomly divided into three groups： A, B and C . The A group was placed inside the GongShuNing stick and the Foley catheter in cervix successively at night before operation. The B group was only placed inside the Foley catheter at night before operation. The C group was placed inside 0.4mg misoprostol into the vagina at night before operation. An- alyzed the difficult extent of placing the catheter and the painful extent of patients between the A and the B group. And analyzed the cervix expansion, operation time, amount of bleeding and amount of uterine distending medium in all the 3 groups. Results Placing the Foley catheter in A group is easier than in B group. And the patients＇ painful extent in the A group is better than in the B group （P 〈 0.05 ）. The cervical expansion, operation time, amount of bleeding and a- mount of uterine distending medium in all the 3 groups had no statistical significance （P 〉 0. 05 ）. Conclusions Gong- ShuNing stick combined with Foley catheter is an effective way to expand cervix of postmenopansal woman before hysteroscopy.
作者
李颖
王瑚
LI Ying WANG Hu(Department of Gynecology, Central Hospital of Jinzhou , JinZhou , 121000)
出处
《航空航天医学杂志》
2017年第2期162-165,共4页
Journal of Aerospace medicine
