•临床研究•优美特宫颈扩张棒用于置（取）宫内节育器及人工流产术前扩张宫颈的临床效果观察郝莹莹1陈桂兰】周家文2王玉I杨清I张淑兰I1.中国医科大学附属盛京医院妇产科（沈阳.110004）.吉林大学中口联谊医院妇产科摘要FI的:观察优英待宫颈扩张棒用干證（取）宫内节育器（IUD）及人工流产术前扩张宫颈的临床效果和不良反应。方法：将要求宜或取宫内节育器，妊嫌V10周负压吸引人工流产术需扩张宫颈的妇女275例随机分为两组，观察组（137例）为应用优裘特宫颈扩张棒.对照组（138例）为应用宫术宁胶棒•观察幣组术中宫颈软化扩张情况、敏痛效果、综台反应程度•术后20d随访.结果：观察组和对照组置或取1UD扩张宫颈效果分别为100%、96%,无统计•学羞异（P>0.05）,人工流产和绝经期取IUD扩张效果观察组优于对照组（PV0.05）,骨入时疼痛发生率（4%、25%）有差异（PV0.05）；留置时疼痛发生率均较低•两组无统计学差异（P>0.05〉・术后随访两组均无与产品相关的不良记载。结论:优茨特宫颈扩张棒扩张效果可靠、安全，适用干置（取）1UD、妊娠10周内负压吸引人工流产术术前扩张宫颈.关键词宫颈扩张棒宫术宁胶捧宫颈扩张随机对照doi：10.3969/j.issn.1004-8189.2014.02ClinicalobservationonYOUMETcervicaldilatingrodusedforcervicalorificedilationduringIUDinsertionandremovalandartificialabortionHaoYingying1•ChenGuilar?■ZhouJiawen2,WangYu1■YangQing1,ZhangShulan11.ObstetricsandGynecologyDepartmentofShengjingHospital/AffiliatedtoChinaMedicalUniversity>Shenyang110004；2.ObstetricsandGynecologyDepartmentofChinaJapanUnionHospitalofJilinUniversityAbstractObjective：ToexploretheclinicaleffectandsideeffectsofYOUMETcervicaldilatingrodusedforcervicalorificedilationbeforeIUDinsertionandremovalandartificialabortionoperations.Methods：Atotalof275womenseekingforcervicaldilationduringIUDinsertionandremovaloperations>andartificialabortion—vacuumaspirationoperationforpregnancywithin10weekswererandomlydividedintotwogroups・Therewere137womenintheobservationgroupandYOUMETcervicaldilatingrodwasusedtwhile138servedasthecontrolandGongshuninggluestickwasused・Thecervicalsofteninganddilatationstatus*analgesiceffect,andcomprehensivereactionsduringoperationwereobserved・Womenwerefollowedupsincethe20thdayafteroperation.Results：Forthetwogroups・therewasnosta-tisticalsignificanceingeneralbiologicalcharacteristics（P>0.05）.DilatingeffectsinIUDinsertingandremovingopcr-ationsduringchild-bearingperiodwere100%and96%.whichshowednostatisticalsignificance.DilatingeffectsinartificialabortionoperationandIUDremovingoperationduringmenopauseshowedstatisticalsignificance（P<0.05）.Andincidencesofsideeffectswhichwaspainduringinsertion,were4%and25%inturns,showingsignificantdifference（P<0.05）.Incidencesofpainduringindwellingperiodforbothgroupswerecomparativelylow.whichshowednosignificantdifference.Therewasnoadverserecordrelatedtotheusageofcervicalorificedilatingproductsinpost—operationfollow—upvisits（P>0.05）.Conclusion：YOUMETcervicaldilatingrodhastrustworthyandsafedilatingeffect・hisapplicabletocervicaldilationbeforeIUDinsertionandremovaloperations>andvacuumaspirationoperationforterminationofpregnancywithin10weeks・KeywordsCervicaldilatingrod；Gongshuninggluerod；Cervicaldilating；RandomjContrast遥（取）宫内节育器（IUD）与负压吸引人工流产术，手术快捷、痛苦小,但是术前扩张宫颈给部分妇------------------------------女带来疼痛和不适，甚者可能发生损伤，因而如何安收稿日期;2013-!!-29修辭期朋―30全有效扩张宫颈并将痛苦降低到最小一立受到学者们的关注。本文对新注册的优美特宫颈扩张棒的有效性和安全性进行门曲床观察，现将结果...