应用三维冠状切面成像技术指导剖宫产子宫放置宫内节育器的临床研究  

Clinical application of 3D ultrasound uterus imaging technology in the placement of intrauterine device after cesarean section

作　　者：吴晓彬[1] 胡晓丽[1] 林锦珠 汪勤 

机构地区：[1]深圳市龙岗区计划生育服务中心,广东深圳518172 [2]深圳市龙岗区龙岗街道计划生育服务中心,广东深圳518172

出　　处：《中国性科学》2014年第5期74-77,共4页Chinese Journal of Human Sexuality

基　　金：2012年广东省人口计生委科研课题资助项目(2012223)

摘　　要：目的:探讨三维超声宫腔成像技术在剖宫产子宫放置宫内节育器(IUD)临床应用的价值。方法:随机选择193例剖宫产后自愿使用IUD避孕的妇女作为研究对象,其中观察组98例在放置IUD术前进行三维超声子宫腔冠状切面成像,并根据图像的形态特征指导临床选择IUD类型大小;对照组95例按照传统的方法放置IUD。术后定期随访,并对两组对象的续用率、妊娠率、脱落率、因症取出率及副反应情况进行作数据比较分析。结果:在选用IUD的型号大小方面,观察组以中、小号为主(87.4%),对照组主要以大、中号为主(81.1%),差异显著(P<0.05);两组对象在放满12个月时,观察组与对照组的续用率分别为95.9/百妇女、84.2/百妇女,脱落率分别为2.04/百妇女、7.37/百妇女,因症取出率分别为2.04/百妇女、8.42/百妇女,各类别比较差异显著(P<0.05);两组对象副反应主诉在不同时期观察组均低于对照组,但两组比较差异无统计学意义(P>0.05)。结论:三维超声的子宫冠状切面成像能客观、准确反映宫腔形态特征,为指导临床选择合适IUD提供依据,能有效提高剖宫产后子宫放置IUD的效能和减少副反应率的作用,值得推广。Objectives： To study the clinical application of 3 D ultrasound uterus imaging technology in placing intrauterine device（ IUD） after cesarean section. Method： 193 women who voluntarily used IUD after cesarean section were selected randomly as the research object,among whom the 98 cases in the observation group were examined by 3D ultrasound coronal plane imaging before placing IUD,to choose the right IUD type and size according to the morphological characteristics of images; while the other 95 cases in the control group were placed with IUD with traditional methods. In the postoperative follow- ups,data of the 2 groups,including the continuous using rate,pregnancy rate,abscission rate,extraction rate due to diseases and complains of side effects were analyzed comparatively. Results： For the size of IUD used,observation group gave priority to IUD of medium and small size（ 87. 4%）,while large and medium size dominated the control group（ 81. 1%）,exerting significant difference（ P〈0. 05）; 12 months later,the continuous using rate,abscission rate and extraction rate due to diseases of the observation group was 95. 9%,2. 04% and 2. 04% respectively,while those of the control group was 84. 2%, 7. 37% and 8. 42% respectively,showing significant comparative difference（ P 〈0. 05）; complains of side effects of the observation group was lower than those of the control group at different stages,but the difference between the two groups was not statistically significant（ P〉0. 05）. Conclusion： 3D ultrasound uterine coronal plane imaging can objectively and accurately reflect the morphological characteristics of uterine,providing reference for guiding clinical choice of appropriate IUD,and hereby effectively improves the efficiency and reduces the side effects of uterine cesarean section IUD placement,which is worthy of promotion.

关 键 词：三维超声 冠状切面成像 剖宫产子宫 宫内节育器 

分 类 号：R719.8[医药卫生—妇产科学]