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如何改善子宮頸狹窄時子宮腔手術的安全性

摘要


在狹窄的子宮進行子宮腔手術,有時會產生一些嚴重的併發症。患者如接受試管嬰兒,因胚胎植入困難,懷孕率會下降。尤其在停經後的婦女如需進入子宮腔手術,務必謹慎。可考慮在手術前口服或陰道使用misoprostol或加上局部雌激素,以軟化子宮頸,或輔以手術技巧增加成功率。

參考文獻


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Abdelhakim AM, Gadallah AH, Abbas AM. Efficacy and safety of oral vs vaginal misoprostol for cervical priming before hysteroscopy: a systematic review and meta-analysis. Eur J Obstet Gynecol Reprod Biol 2019;243:111-9.
Oppegaard KS, Nesheim BI, Istre O, et al. Comparison of self-administered vaginal misoprostol versus placebo for cervical ripening prior to operative hysteroscopy using a sequential trial design. Br J Obstet Gynaecol 2008;115:663-9.
Tasma ML, Louwerse MD, Hehenkamp WJ, et al. Misoprostol for cervical priming prior to hysteroscopy in postmenopausal and premenopausal mulliparous women; a multicenter randomized placebo controlled trial. Br J Obstet Gynaecol 2018;125:81-9.
Fouda UM, Allah SHG, Elshaer HS, et al. Optimal timing of misoprostol administration in nulliparous women undergoing office hysteroscopy: a randomized double-blind placebo-controlled study. Fertil Steril 2016;106:196-201.

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