不同时期经超声放置两种吉妮宫内节育器效果分析  

Effect analysis of different fixed intrauterine devices inserted by ultrasound monitoring in different periods of women

作　　者：王兵 宋晓宇 林琳 WANG Bing;SONG Xiaoyu;LIN Lin(Dalian Maternal and Child Health Hospital,Liaoning Province,116021;The Second Affiliated Hospital of Dalian Medical University)

机构地区：[1]大连市妇幼保健院,116021 [2]大连医科大学附属第二医院

出　　处：《中国计划生育学杂志》2021年第5期885-888,共4页Chinese Journal of Family Planning

摘　　要：目的:分析不同时期放置吉妮致美和吉妮柔适宫内节育器(IUD)的有效性、安全性。方法:选择2014年1月-2016年1月在本院接受人工流产术,并在术后即时放置IUD的对象50例为即时组,按随机数字表法分两组,即时1组采用吉妮致美IUD(IN/DL-II型),即时2组采用吉妮柔适IUD(IN/S型);另选取同期在月经结束后3~7d或手术6个月放置IUD的对象50例为术后组,按随机数字表法分为术后1组和术后2组,术后1组采用吉妮致美IUD(IN/DL-II型),术后2组采用吉妮柔适IUD(IN/S型)。随访12个月,比较各组IUD使用、术后副作用发生及术后3个月内出血情况。结果:IUD放置12个月,各组因带器妊娠、医疗原因取出、完全脱落等原因终止IUD的发生率比较无差异(P>0.05);即时1组下移脱落1例;即时2组放置2个月后因测量S-S距离(子宫浆膜层至吉妮IUD第一节铜套上缘的距离)≤1.1 cm取出1例;术后1组、术后2组IUD下移取出各1例。各组3个月内正常出血时间、点滴出血时间等比较无差异(P>0.05),即时2组总出血时间(22.1±2.3d)长于即时1组(20.1±2.3d),术后2组总出血时间(20.9±2.4d)长于术后1组(19.2±2.1d)(P均<0.05)。各组术后经量增多、经量减少、经期延长/周期缩短、腰腹酸痛、月经稀发/闭经等发生率比较无差异(P>0.05)。结论:人工流产术后即刻和月经结束后3~7d或手术1个月后置入吉妮IUD的有效性和安全性均较高,且吉妮致美IUD总出血量低于吉妮柔适IUD。Objective: To analyze the effectiveness and safety of IN/DL-II type and IN/S type intrauterine devices(IUD) by ultrasound monitoring in different periods of women. Methods: 50 women who underwent induced abortion were selected in group A from January 2014 to January 2016, and were divided into group A1 and group A2 by random number table. The women in group A1 were inserted IN/DL-II type IUD immediately after abortion, and the women in group A2 were inserted IN/S type IUD immediately after abortion. Another 50 women who underwent IUD inserted 3-7 days after the end of menstruation or 6 months after abortion were selected in group B during the same period, and were divided into group B1 and group B2 by random number table. The women in group B1 were inserted IN/DL-II type IUD, and the women in group B2 were inserted IN/S type IUD. After 12 months followed up, the situation of IUD, the occurrence of side effects, and the bleeding within 3 months after IUD inserted of the women were compared among these groups. Results: 12 months after IUD inserted, there were no significant differences in the incidences of pregnancy with IUD, IUD removal for medical reasons, and complete discharge of IUD of the women among the four groups(P>0.05). There was 1 woman with IUD discharge in group A1. In group A2, 1 woman was given IUD removed due to the distance between the perimetrium of and the upper edge of the IUD(S-S) ≤ 1.1 cm in 2 months after IUD inserted. IUD of one woman was removed in group B1 and group B2. There were no significant differences in normal bleeding time and spot bleeding time of the women within 3 months after IUD inserted among the four groups(P>0.05). The total bleeding time(22.1±2.3 d) of the women in group A2 was significant longer than that(20.1±2.3 d) of the women in group A1, and the total bleeding time(20.9±2.4 d) of the women in group B2 was significant longer than that(19.2±2.1 d)of the women in group B1(all P<0.05).There were no significant differences in the incidences of increased menstrual v

关 键 词：吉妮宫内节育器 不同时期放置 有效性 安全性 

分 类 号：R169.41[医药卫生—公共卫生与预防医学] R445.1