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目的:探讨子宫在机体不同位置(前位、平位、后位)的情况下放置不同类型节育器的效果。方法:将于计划生育门诊部放置宫内节育器妇女618例列为观察对象,根据其子宫所处位置分成三组,即子宫前位组、子宫平位组及子宫后位组,结合个体妇女的具体情况放置不同类型的IUD,12个月后随访调查统计并分析放置IUC的效果。结果:前位组可明显致165型带器受孕增加,平位组可明显导致宫药铜型移位脱落增多,后位组则明显增加165型与宫药铜型出现腰腹疼痛,且P值均<0.05;就三组研究对象相比,子宫前位对各类型IUD的续用率影响最小。结论:提议在往后的计划生育工作中,对需要避孕的妇女可优先考虑放置γ型IUD,相对其它类型IUD,其效果良好,且不良发生率低而更为安全。
Objective: To investigate the effect of placing different types of IUDs in different positions of the uterus (anterior, posterior, posterior). Methods: One hundred and eighty-eight women with IUD placed in the family planning clinic were classified as three groups according to the location of the uterus, that is, the anterior uterus group, the uterus level group and the uterine posterior group, combined with the individual women The different types of IUDs were placed in our hospital. The follow-up survey was performed 12 months later to analyze the effect of IUC placement. Results: The anterior group significantly increased the conception of 165-type device, and the flat-position group could obviously lead to the increase of the copper-type shift of the uterine drug, while the posterior group significantly increased the lumbar-abdominal pain of the 165-type and the palace- All <0.05. Compared with the three groups, the anterior uterus had the least effect on the follow-up rate of various types of IUDs. CONCLUSIONS: It is proposed that, in future work on family planning, priority may be given to women who require contraception for placement of γ-shaped IUDs, which are more effective than other types of IUDs and are associated with lower and safer adverse outcomes.