带器妊娠原因分析与相应干预措施

• 作 者: 朱长耀 王晓冰 谭雪莲 郭晓俭 梁欢谊 潘建英 李焱
• 机 构: 广州市芳村区妇幼保健院,广州市芳村区人口和计划生育局,广州市芳村区妇幼保健院,广州市芳村区妇幼保健院,广州市芳村区人口和计划生育局,广州市芳村区妇幼保健院,广州市芳村区妇幼保健院,
• 出 处: 河北医药
• 发表日期: 2005年11期
• 关键词: 带器妊娠 IUD 超声 干预策略

目的找出带器妊娠的主要原因及相应的干预策略。方法分析156例带器妊娠的临床、超声表现,并结合文献加以讨论。结果带器妊娠的原因:(1)宫内节育器(IUD)位置异常占72．4％(113/156),其中IUD下移占66％(103/156),IUD嵌顿占5．8％(9/156),IUD异住占0．6％(1／156)。(2)IUD过期失效占7．0％(1/156)。(3)不能明确原因占20．5％(32/156)。结论IUD位置异常及过期失效是带器妊娠的主要原因,带器妊娠的重点人群是年轻育龄妇女,好发时间是带器一年之内,所以应当采取相应的干预策略。

Objective To find out the main causes of pregnancy with the device and the corresponding intervention strategies. Methods Clinical and sonographic findings of 156 cases with pregnancy were analyzed and discussed in the literature. Reasons for pregnancy with the device: (1) IUD position abnormalities accounted for 72.4% (113/156), including IUD down 66% (103/156), IUD incarcerated 5.8 % (9/156), IUD abortion accounted for 0.6% (1/156). (2) IUD expired failure accounted for 7.0% (1/156). (3) can not be clearly accounted for 20.5% (32/156). Conclusions IUD location abnormality and expiration failure are the main causes of pregnancy with the device. The key population with pregnancy in the device is young women of childbearing age, and the time of onset is within one year. Therefore, appropriate intervention strategies should be taken.