摘要
目的:比较米索前列醇和宫颈插海藻棒在宫腔镜电切手术中扩张宫颈的作用。方法:将宫腔镜手术的60例患者随机分为2组,米索前列醇组30例,手术前3 h阴道置米索前列醇400μg,海藻棒组30例,手术前12 h经阴道宫颈插海藻棒。结果:米索前列醇组用7号以上扩张棒扩张宫颈有28例,占93.3%,海藻棒组用7号以上扩张棒扩张宫颈有3例,占10%,米索前列醇组比海藻棒组宫颈内口扩张程度好。宫腔镜手术米索前列醇组人工流产综合征(PAAS)发生率明显低于海藻棒组(P<0.05)。宫腔镜手术中米索前列醇组比海藻棒组VAS评分有显著性差异(P<0.05)。结论:宫腔镜手术前3 h阴道置米索前列醇400μg为方便、有效的软化宫颈的方法,可缓解疼痛,减少操作,减少并发症。
Objectives： To compare efficacy of intravaginal misoprostol versus endocervical laminaria tents prior to operative hysteroscopy for cervical ripening in selected cases. Methods： A total of 60 patients scheduled for operative hysteroscopy were randomly allocated to two groups according to method of cervical priming prior to the procedure. Misoprostol 400μg was inserted into the posterior fornix of the vagina for patients in group misoprostol （n = 30）, while laminaria tents were inserted intracervically in group laminaria patients （n =30）. Results： Although both methods were effective for cervical dilatation, there was a significant difference in the mean cervical diameter for cervical dilatation. Furthermore, there was significant difference between the groups with respect to the side effect and patients＇ assessments of the procedure. Conclusions： Both misoprostol and laminaria were effective in inducing proper cervical priming prior to operative hysteroscopy with cervical dilatation. Nevertheless, misoprostol may be superior due to good effect, easy application, reduced cost, less side effect and patient convenience and acceptability.
出处
《新疆医科大学学报》
CAS
2008年第11期1588-1590,共3页
Journal of Xinjiang Medical University
