一次性使用子宫颈扩张器在妇科常见病诊疗中的有效性和安全性评价

Effectiveness and Safety of Disposable Cervical Dilators for Diagnosis and Treatment of Gynecological Diseases

摘要: 目的：评估一次性使用子宫颈扩张器(disposable cervical dilators, dPCD)在妇科常见病诊疗中临床应用的安全性和有效性。方法：选择2012年07月至2014年05月在本院产科应用dPCD在妇科常见疾病诊疗中扩张宫颈的共计60例患者为研究对象。试验组(n = 31)选择使用一次性使用子宫颈扩张器；对照组(n = 29)选择使用金属扩张棒。分析比较两组受试者术中及术后镇痛效果、宫颈扩张情况以及不良事件发生率。结果：两组受试者一般临床资料比较，差异无统计学意义(P > 0.05)。观察组与对照组比较：疼痛发生率分别为35.5%和89.7%；子宫颈壁损伤率分别为12.9%和72.4%；无阻力通过子宫颈扩张器分别为100%和69%；观察组未发生副反应，而对照组为13%。实验组和对照组上述差异均有统计学意义(P < 0.05)。试验组有效性为100%，对照组有效性为79.3%。结论：dPCD用于妇科常见疾病诊疗中是安全且有效的，值得临床使用。

Abstract: Objective: To evaluate the effectiveness and safety of disposable cervical dilators (dPCD) for diagnosis and treatment of gynecological diseases. Methods: A total of 60 gynecological women inducted dilated cervix by dPCD in the Department of Obstetrics and Gynecology from July 2012 to May 2013 were recorded and analyzed. According to whether to use dPCD for dilated cervixing or not, they were divided into experimental group (n = 31, use) and control group (n = 29, not use). The intraoperative and postoperative analgesia, dilatation of cervix, and the incidence of adverse events were analyzed and compared. Results: The general clinical data of two groups were compared with no statistically significant difference (P > 0.05). Observation group compared with the control group: pain effective rate was 35.5% and 89.7%; cervical injury was 12.9% and 72.4%; no resistance through cervical dilator was 100% and 69%; there were significant differences (P < 0.05). Group effectiveness is 100% and effectiveness is 79.3% in the control group. Conclusions: Disposable cervical dilators with good analgesic effect are safe and effective in the diagnosis and treatment of gynecologic diseases, so it is worthy of clinical use.