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目的:观察人工流产术后立即放置宫内节育器的临床效果。方法:选取2014年5月~2017年4月期间在我院妇产科行人工流产术的妇女108例,按照宫内节育器放置时间的不同分为观察组和对照组,每组各54例,观察组于术后立即放置宫内节育器,对照组术后延迟放置,术后均随访6个月,观察比较两组的术后妊娠率、节育器脱落率、因症取出率、生殖道感染率及并发症发生情况。结果:两组的术后妊娠率、节育器脱落率、因症取出率及生殖道感染率均无明显差异,P>0.05,差异无统计学意义。观察组术后1个月月经异常、痛经发生率明显高于对照组,组间差异具有统计学意义(P<0.05);术后3个月、6个月时的月经异常、痛经发生率与对照组并无明显差异,P>0.05,差异无统计学意义。结论:人工流产术后立即放置宫内节育器避孕效果好,安全可靠,值得推广应用。
Objective: To observe the clinical effect of intrauterine device placement immediately after induced abortion. Methods: 108 cases of induced abortion in our hospital from May 2014 to April 2017 were selected and divided into observation group and control group according to the different time of intrauterine device placement, with 54 cases in each group , The observation group was placed immediately after the operation IUD, the control group postoperatively delayed placement, were followed up for 6 months postoperatively, the pregnancy rate, the rate of abortion, the rate of removal due to illness, reproductive tract Infection rate and complications occurred. Results: There was no significant difference in postoperative pregnancy rate, abortion rate, abortion rate and genital tract infection rate between the two groups (P> 0.05). There was no significant difference between the two groups. The incidence of dysmenorrhea in the observation group was significantly higher than that in the control group at 1 month after operation, with significant difference between the two groups (P <0.05). The abnormal menstruation at 3 months and 6 months after operation, the incidence of dysmenorrhea and There was no significant difference in the control group, P> 0.05, the difference was not statistically significant. Conclusion: The contraceptive effect of IUD immediately after induced abortion is safe, reliable, and worth popularizing.