剖宫产史及宫内节育器类型对发生宫内节育器嵌顿影响  

Influence of cesarean section history and type of intrauterine device on occurrence of intrauterine device incarceration

作　　者：张雪松[1] 刘静 张家弘 李正伟 李梦雪 赵宏艳 杨利华 ZHANG Xuesong;LIU Jing;ZHANG Jiahong;LI Zhengwei;LI Mengxue;ZHAO Hongyan;YANG Lihua(Tangshan Maternal and Child Health Care Hospital,Tangshan, Hebei Province, 063000)

机构地区：[1]河北省唐山市妇幼保健院,063000

出　　处：《中国计划生育学杂志》2021年第9期1823-1825,1830,共4页Chinese Journal of Family Planning

摘　　要：目的:探讨剖宫产史及宫内节育器(IUD)类型对发生宫内节育器嵌顿的影响。方法:回顾性分析本院2018年6月—2021年4月收治的IUD嵌顿者56例为病例组,同期未发生IUD嵌顿者48例作为对照组,通过多因素logistic分析探讨剖宫产史及IUD类型对IUD嵌顿的影响。结果:有剖宫产史比无剖宫产史者更容易发生嵌顿(OR=2.374,95%CI 1.118~5.039),圆形IUD比V形更不容易发生嵌顿(OR=0.401,95%CI 0.160~0.981)。结论:IUD放置时需要考虑综合因素,选择合适的IUD类型,以及减少剖宫产率,降低IUD嵌顿发生。Objective:To analyze the influence of cesarean section history and intrauterine device(IUD)type of the women on their occurrence of IUD incarceration.Methods:A retrospective analysis was conducted in this study.56 women with IUD incarceration from June 2018 to April 2021 were selected in study group,and 48 women without IUD incarceration were selected in control group during the same period.Multivariate Logistic analysis was used to explore the influence of the cesarean section history and the type of IUD of the women on their occurrence of IUD incarceration.Results:The rate of incarceration of IUD of the women with history of cesarean section was significant higher than that of the women without history of cesarean section(OR=2.374,95%CI 1.118-5.039).The rate of incarceration of IUD of the women with metal ring IUD was significant higher than that of the women with T-shaped IUD(OR=0.401,95%CI 0.160-0.981).Conclusion:It is necessary to consider the comprehensive factors before IUD inserted.Both the appropriate type of IUD chosen and the reducing cesarean section all can decrease the occurrence of IUD incarceration to a certain extent.

关 键 词：宫内节育器嵌顿 剖宫产史 影响因素 

分 类 号：R16[医药卫生—公共卫生与预防医学]