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本文讨论了盆腔疼痛(包括放置时及宫腔异物引起的疼痛)与IUD的关系,以及放置IUD后盆腔疼痛的主要鉴别诊断。患者在放置IUD时均有一定程度的疼痛,但因其妊次、IUD的大小和形状而不同。IUD截面直径小者,易放置,则引起的疼痛较轻。因接触面小,减少了子宫内膜受压和肌层张力、从而疼痛与经期失血均减轻。放置性疼痛的性质与程度因人而异。有人报道Cu-7引起的放置痛,未产妇12.9％,经产妇2.6％;带孕酮IUD的放置后收缩痛,未产妇及经产妇均在8.5％左右。
This article discusses the relationship between pelvic pain (including pain caused by placement and intrauterine foreign body) with IUD, and the main differential diagnosis of pelvic pain after IUD placement. The patient has a certain degree of pain when placing the IUD, but this varies depending on the size and shape of the IUD. IUD small cross-sectional diameter, easy to place, then cause less pain. Due to the small contact surface, reducing the endometrial pressure and muscle tension, so pain and menstrual bleeding are reduced. The nature and extent of placement pain varies from person to person. It was reported that Cu-7 caused by the placement of pain, 12.9% of unpaired mothers, 2.6% of mothers; with IUD of progesterone after contracting pain, unpaid and maternal 8.5%.