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固定式铜宫内节育器与TCu380A宫内节育器的临床比较性研究 被引量:4

A Clinical Comparative Study on Flexigard IUD and TCu380A IUD
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摘要 目的:探讨固定式铜宫内节育器(CuFixIUD)的避孕效果。方法:采用前瞻性临床对比性研究方法,共接收200例受试者,随机分为CuFixIUD组(n=100)和TCu380AIUD组(n=100),观察8年。结果:8年末随访率为95%。CuFixIUD组1例意外妊娠,无一例带器妊娠,而TCu380AIUD组8年累积妊娠率每百妇女为6.75。CuFixIUD组3个月随访时脱落率每百妇女为9.18,随访1年至5年各年的累积脱落率明显高于TCu380AIUD组,组间相比,差异有统计学意义(P<0.01)。8年末的累积脱落率组间差异无统计学意义(P>0.05)。组间各时期因症取出率以及续用率相比较差异无统计学意义(P>0.05)。结论:CuFixIUD为一种低妊娠率、高效和长效的IUD。 Objective: To observe contraception effects of copper flaxigard IUD (CuFix IUD). Methods: A pro-spective clinical comparative trial was performed. Total numbers of 200 cases were recruited in this study and divided into CuFix IUD group (n=100) and TCu380A IUD group (n=100). Follow-up visits lasted for 8 years. Results: The follow-up rate of 8-year later was 95%. There was one unexpected pregnancy in CuFix IUD group and no pregnancy with IUD in situ occurred in it. The cumulative pregnancy rate was 6.75 per 100 women at 8 years in TCu380A IUD group. The CuFix IUD 3-month expulsion rate was 9.18 per 100 women. The CuFix IUD expul-sion rate was significantly higher than that of the TCu380A IUD and there was a significant difference between the two groups at each interval from 1 year to 5 years (P0.01), while there was no significant difference in the expulsion at 8 years (P0.05). The discontinuation rate for all symptoms had no significant difference between the two groups at all intervals (P0.05). Neither did the cumulative continuation rates (P0.05). Conclusion: CuFix IUD showed low pregnancy rate, high efficiency and long term.
作者 李军 韩丽晖
出处 《生殖与避孕》 CAS CSCD 北大核心 2010年第4期253-257,共5页 Reproduction and Contraception
基金 WHO人类生殖研究发展和培训中心项目 项目编号为88902
关键词 宫内节育器(IUD) 避孕效果 intrauterine device (IUD) Cu contraception effects
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  • 1Wildemeersch D, Batar I, Affandi B, et al. The 'frameless' intrauterine system for long-term, reversible contraception: a review of 15 years of clinical experience. Obstet Gynaecol Res, 2003, 29(3):164-73.
  • 2周宇,彭林.宫内节育器带器妊娠及异位妊娠的研究[J].生殖与避孕,2006,26(5):307-311. 被引量:40
  • 3UNDP/UNFPA/WHO. The TQL380A IUD and the frameless IUD "the FlexiGard": interim three-year data from an international multicenter trial. Contraception, 1995, 52(2): 77-83.
  • 4Martinez F, Gimenez E, Hernandez G, et al. Experience with GyneFIX insertions in Spain: favorable acceptance of the intrauterine contraceptive implant with some limitations. Contraception, 2002, 66(5):315-20.
  • 5Cao X, Zhang W, Zhao X, et al. Three-year efficacy and acceptability of the GyneFix 200 intrauterine system. Contraception, 2004, 69(3):207-11.
  • 6王欣,韩丽晖.放置宫内节育器后子宫异常出血的治疗[J].生殖与避孕,2004,24(3):173-176. 被引量:27

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