宫内节育器横置/倒置不良事件12例分析  

Analysis of 12 cases of intrauterine device(IUD) adverse event about transverse/invert

作　　者：杨月华[1,2] 李瑛[1,2] 

机构地区：[1]国家人口计生委计划生育药具不良反应监测中心 [2]江苏省计划生育科学技术研究所,南京市210036

出　　处：《临床合理用药杂志》2012年第35期31-32,共2页Chinese Journal of Clinical Rational Drug Use

基　　金：中央财政专项"避孕药具不良反应监测与防治";"十一五"国家科技支撑计划课题"避孕药具上市后监测和风险再评价研究"(2006BAI15B07);江苏省科技厅项目"江苏避孕药具上市后监测与风险评价业务建设"(BM2009904)

摘　　要：目的探讨宫内节育器横置/倒置不良事件发生的规律和特点,为宫内节育器安全、有效使用提供参考。方法对国家人口计生委计划生育药具不良反应监测中心2011年12月31日前收集到的12例宫内节育器横置/倒置不良事件进行回顾性分析。结果宫内节育器横置/倒置不良事件多发生在30岁左右、单孕产次、首次置器、经后放置的妇女中,临床表现不典型,一般通过随访中B型超声检查发现,主要见于开放式非记忆合金型宫内节育器使用者中。结论应结合宫内节育器横置/倒置的发生特点及可能原因,有针对性地进行监测,减少发生数量,降低严重程度。Objective To explore the general pattern and characteristics of intrauterine device （IUD） adverse event about transverse/invert in order to offer reference for safe and effective IUD use.Methods 12 reports of IUD transverse/invert collected by family planning medicine adverse reaction monitoring center of national population and family planning commission were analyzed retrospectively.Results IUD transverse/invert occurred mainly in the women who had some features such as around 30 years old,single motherhood time,IUD insertion for the first time after menstruation,open and non-memory alloy type IUD users.Its clinical manifestations was atypical and it was usually found by ultrasound at follow-up.Conclusion IUD adverse event monitoring should be combined with its causes and characteristics for reducing its occurrence and severity.

关 键 词：宫内节育器 不良事件 横置 倒置 分析 

分 类 号：R169.4[医药卫生—公共卫生与预防医学]