摘要
目的探讨人工流产后立即放置宫内节育器的临床效果。方法回顾性分析2008年1月-2010年1月400例停经6~8周因施行人工流产术且需要采取避孕措施的临床资料,根据选择放置宫内节育器的时间不同分为两组:A组200例,人工流产后立即放置宫内节育器;B组200例,人工流产后6月内延迟放置宫内节育器。比较两组人工流产术后1、3及6月的妊娠率、节育器脱落率、因症取出率、盆腔感染及子宫穿孔情况。结果 A组人工流产后无妊娠发生,B组有5例妊娠,且均为人工流产后未使用节育器的女性,妊娠率为2.5%;A组与B组节育器脱落率分别为2.5%(5/200)和1.5%(3/200);因症取出率分别为3.5%(7/200)和2.5%(5/200);盆腔感染率分别为0.5%(1/200)和1%(2/200);无子宫穿孔发生,两组比较差异均无统计学意义。结论人工流产后立即放置宫内节育器具有安全性、可行性,值得临床推广。
[ Objective] To discuss the clinical effect of the intrauterine device placed after abortion immediately. [ Methods ] The retrospective analysis on the clinical materials of 400 cases which were menopause for 6-8 weeks induced by abortion operation and need to take contraceptive measures from January 2008 to January 2010 was made. According to the different time of the placing intrauterine device divided into 2 groups: the group A of 200 cases which were placed intrauterine device after abortion immediately while the group B of 200 cases which were placed intrauterine device after abortion 6 months. And compare the pregnancy rate, the Synthetic loss rate, the re- move rate due to illness, the Pelvic infection and uterus perforation after the of the artificial abortion 1, 3, 6 months of the two groups. [ Results ] The group A had no 1 case of pregnant, while the group B had 5 cases that the women who had no used the intrauterine devices after the abortion, the pregnancy rate was 2.5%. The Synthetic loss rates of the group A and the group B were 2.5%(5/200), 1.5%(3/200), the removal rates due to illness were 3.5%(7/200), 2.5% (5/200), the Pelvic infection rates were 0.5%(1/200), 1%(2/200), and there were no uterus perforation in both groups. [ Conclusions ] Placing the intrauterine device after the abortion immediately were had the safety, feasibility, and worthy of clinical promotion.
出处
《中国现代医学杂志》
CAS
CSCD
北大核心
2014年第33期64-66,共3页
China Journal of Modern Medicine
关键词
人工流产术
宫内节育器
立即放置
artificial abortion operation
intrauterine device
placing immediately