宫内节育器发生嵌顿的影响因素分析及宫腔镜诊治疗效观察  

Analysis of Influencing Factors of Incarceration of IUD and Observation of Diagnosis and Treatment Effect of Hysteroscopy

作　　者：陈思璐 谢有欢 CHEN Silu;XIE Youhuan(Guicheng hospital,Nanhai District,Foshan,Guangdong 528000)

机构地区：[1]佛山市南海区桂城医院,广东佛山528000

出　　处：《智慧健康》2022年第7期42-44,共3页Smart Healthcare

摘　　要：目的探讨宫内节育器(IUD)发生嵌顿的影响因素及宫腔镜诊治疗效。方法选择2017年1月-2020年12月就诊本院的54例IUD嵌顿患者为观察组,54例体检未发生IUD嵌顿为对照组。收集两组资料收集,分析IUD发生嵌顿的影响因素,并对IUD嵌顿患者实施宫腔镜诊治,评估其诊疗效果。结果单因素分析显示:痛经、上环时机、带环时间、IUD类型与IUD发生嵌顿有关,差异有统计学意义(P<0.05);上环年龄、妇科炎症与UD发生嵌顿无关,差异无统计学意义(P>0.05);多因素分析显示:痛经(β=0.829,OR=2.291,95%CI=1.059-4.959)、哺乳期和人流后上环(β=1.386,OR=4.000,95%CI=1.442-11.093)、带环时间(β=2.330,OR=10.278,95%CI=2.036-51.898)、惰性IUD(β=1.107,OR=3.025,95%CI=1.261-7.259)是IUD发生嵌顿的高危因素(P<0.05);宫腔镜下54例IUD嵌顿者均明确诊断,诊断准确率为100.00%,嵌顿的IUD全部取出,成功率为100.00%。结论IUD发生嵌顿与痛经、上环时机、带环时间、IUD类型密切相关,宫腔镜IUD嵌顿检出率与取出成功率较高,可作为诊治IUD嵌顿的首选方式。Objective To explore the influencing factors of(IUD)incarceration in IUD and the therapeutic effect of hysteroscopy.Methods 54 patients with IUD incarceration in our hospital from January 2017 to December 2020 were selected as the observation group,and 54 patients without IUD incarceration in physical examination were selected as the control group.Collect the data of the two groups,analyze the influencing factors of IUD incarceration,and implement hysteroscopic diagnosis and treatment for patients with IUD incarceration,and evaluate the diagnosis and treatment effect.Results Univariate analysis showed that dysmenorrhea,timing of upper ring,gynecological inflammation,ring time,IUD type were associated with IUD incarceration,the difference was statistically significant(P<0.05).There was no significant difference between the age of the upper ring and the incarceration of UD(P<0.05).Multivariate analysis showed that dysmenorrhea(β=0.829,OR=2.291,95%CI=1.059-4.959),lactation and upper ring after abortion(β=1.386,OR=4.000,95%CI=1.442-11.093),ring time(β=2.330,O R=10.278,95%CI=2.036-51.898),inert IUD(β=1.107,OR=3.025,95%CI=1.261-7.259)were the risk factors for IUD incarceration(P<0.05);54 cases of IUD incarceration were diagnosed by hysteroscopy,the diagnostic accuracy was 100.00%,and the success rate was 100.00%.Conclusion The incidence of IUD incarceration is closely related to dysmenorrhea,timing of IUD insertion,time of IUD insertion and type of IUD.The detection rate and removal success rate of IUD incarceration by hysteroscopy are high,which can be used as the first choice for the diagnosis and treatment of IUD incarceration.

关 键 词：宫内节育器 节育器嵌顿 影响因素 宫腔镜 

分 类 号：R169.41[医药卫生—公共卫生与预防医学]