摘要
目的探讨有剖宫产史妇女人工流产术后即时放置吉尼致美IUD的使用效果。方法采用2010年1月～2011年12月底在本站行人工流产并愿意术后即时放置IUD长期避孕的有剖宫产史妇女480例,随机分为两组,每组240例,分别放置TCu380A和吉尼致美IUD,于放置后1、3、6、12个月随访,比较其避孕效果及副反应发生情况。结果随访满1年,放置吉尼致美IUD组在腰腹痛、经量增多方面明显低于TCu380A IUD组,差异有统计学意义(P<0.05)。吉尼致美IUD和TCu380A IUD的妊娠率、脱落率、因症取出率、续用率方面分别为1.25%、1.67%、3.75%、93.33%和2.50%、8.83%、8.83%、80.84%。脱落率和因症取出率吉尼致美IUD明显低于TCu380A IUD,续用率TCu380A低于吉尼致美IUD差异均有统计学意义(P<0.01)。结论吉尼致美IUD具有安全、可靠、避孕效果好、副作用小的优点,是广大剖宫产妇女人工流产术后放置IUD长期避孕的理想选择。
Objective To evaluate the efficacy of the use on putting IUD about women caesarean birth after induced abortion Methods A follow up survey was carried out in the women who underwent TUDs insertion from January 2010 to December 2011.480 women seeking for IUD insertion were allocated to two groups of Aimu TCu380A IUD and Gene Fiex IN IUD,with each group of 240 cases.Those women were followed up at 1,3,6 and 12 month after IUD insertion.The effectiveness and side effects were evaluated.Results After a year Gene Fiex IN IUD group on the abdominal and increasing menstruation was less than TCu380A IUD group（P0.05）.The pregnancy rates,the expulsion rates,the removal rates for medical reasons and the continuation rates for those with Gene Fiex INIUD and TCu380A IUD were1.25%,1.67%,3.75%,93.33% and 2.50%,8.33%,8.33%,80.84%.The expulsion rates and the removal rates for medical reasons of Gene Fiex IN IUD were clearly lower than TCu380A IUD.The continuation rates of TCu380A IUD was lower than Gene Fiex IN IUD（P0.05）.Conclusion The contraception effect of Gene Fiex IN IUD is good,long-term,safety and little side effects.It＇s the dream selection to those who undergo Gene Fiex IN IUD after induced abortion.
出处
《中国医药科学》
2012年第22期225-226,240,共3页
China Medicine And Pharmacy
关键词
瘢痕子宫
人工流产
宫内节育器
避孕效果
副反应
Scarred uterus
Induced abortion
Intrauterine device
Contraception effect
Side effect
