摘要
目的观察宫腔过大时放置吉妮固定式宫内节育器的使用情况。方法对158例宫腔过大者放置吉妮固定式宫内节育器,定期进行随访,观察其6个月、12个月及24个月临床使用效果及不良反应。结果158例受术者吉妮固定式宫内节育器均顺利植入宫腔,经6个月、12个月和24个月随访观察,5器妊娠率分别为0.63%、1.31%和2.00%,因症取出率分别为2.53%、3.92%和4.00%,脱落率均为0,续用率分别为96.84%、94.93%和94.30%。月经周期缩短发生率分别为1.90%、1.96%和0.67%;月经经期延长发生率分别为3.16%、3.27%和1.33%;月经量增多发生率分别为1.90%、1.31%和1.33%;不规则出血发生率分别为3.16%、0.65%和0%;白带增多发生率分别为2.53%、1.96%和0.67%;疼痛发生率分别为0.63%、0和0。结论宫腔过大者放置吉妮固定式宫内节育器,副作用少、脱落率低,临床效果满意。
Objective To observe the clinical effect of placement of GyneFix intrauterine device （IUD） in the patients with over-large uterine cavity. Methods GyneFix IUD was implanted into 158 patients with over-large uterine cavity, and they were followed up regularly,and its effect and side-effect were observed within 6 months,12 months and 24 months. Results Of the 158 cases, GyneFix IUD were all successfully planted into uterine cavity. When they were followed up for 6 months, 12 months and 24 months ,the pregnancy rate was 0.63 % ,1.31% and 2.00 % respectively. 2.53 % ,3.92 % and 4.00 % were took out because of some diseases ,the loss rate was 0 ,the continuation rate was 96.84 % ,94.93 % and 94.30 % ,menstrual cycle shortening rate was 1.90 % ,1.96 % and 0.67 % ,menstrual cycle prolongation rate was 3.16 % ,3.27 % and 1.33 % ,menstrual volume increase rate was 1.90 % ,1.31% and 1.33 % ,irregular bleeding rate was 3.16 % ,0.65 % and O,leucorrhea increase rate was 2.53 %, 1.96 % and O. 67 % and the aching rate was 0.63 % ,0 and 0. Condusion There is few side-effects and low expulsion rate for patients with over-large uterine cavity to implant GyneFix IUD, and its clinical effect is satisfactory.
出处
《新乡医学院学报》
CAS
2009年第4期360-361,共2页
Journal of Xinxiang Medical University
关键词
吉妮固定式宫内节育器
宫腔过大
避孕效果
GyneFix intrauterine device
over-large uterine cavity
contraceptive effect
