阴道超声引导下绝经后妇女取环的临床应用研究

摘 要 目的：研究阴道超声引导下绝经后妇女取环的临床应用价值。 方法：对我院2006年1月至2007年1月期间128例绝经后妇女取环病例进行回顾性分析。60例阴道超声引导下绝经后妇女取环作为观察组，同期普通取环68例作为对照组，比较观察组与对照组两组手术时间、术中出血量、取环成功率情况。 结果：观察组手术时间3.1±0.7min，术中出血量2.1±0.5ml，取环成功率98.3%；对照组手术时间4.0±1.2min，术中出血量3.6±0.8ml，取环成功率85.3%；两组中无1例妇女出现子宫穿孔。观察组手术时间和出血量低于对照组 (P<0.05)；观察组手术成功率高于对照组 (P<0.05)。 结论：阴道超声引导下绝经后妇女取环准确安全可靠，临床值得推广应用。

关键词  阴道超声 绝经后 取环术

A Clinical Study of Transvaginal Sonarography Guided to Taking Out Intrauterine Device After-menopause

WANG Guo-ping, LIU Zhi-hong, WEI Wei-xia, WU Rui-fang,  Department of Obstetrics and Gynaecology, Peking University Shenzhen Hospital, Shenzhen 518036，China

Abstract  Objective: To study the clinical value of transvaginal sonarography (TVS) guided to taking out intrauterine device (IUD) after-menopause. Methods: A retrospective study was conducted on 128 cases of after-menopause women taken out IUD in the Peking University Shenzhen Hospital from Jan 2006 to Jan 2007. The 128 cases were divided into two groups. 60 cases of observed group were taken out IUD guided by TVS; 68 cases of control group were taken out IUD without sonarography  guidance. To compare operation duration, bleeding volume, rate of operation success between the observed group with control group. Results: The operation duration, bleeding volume, successful ratio of observed group were 3.1±0.7min， 2.1±0.5ml，98.3%  respectively. The operation duration, bleeding volume, successful ratio of control group were 4.0±1.2min，3.6±0.8ml，85.3%，respectively. There was significant difference between the two groups (P<0.05). No uterine perforation occurred. Conclusions: It is safe reliability for TVS guided to taking out IUD after-menopause. It is worthy of clinical popularization.

Key words: Transvaginal sonarography; After-menopause; Taking out intrauterine device