摘要
目的：评估阴道超声引导可视技术在哺乳期宫内节育器（IUD）放置中的临床应用价值，减少常规操作盲目性，降低手术风险。方法：选择2010年1月至2013年1月放置宫内 IUD 的哺乳期妇女440例，按就诊顺序分为两组，观察组行超声引导可视下放置 IUD，对照组行普通 IUD 放置。比较观察组与对照组 IUD 放置术的子宫穿孔率，1、3、6、12个月后发生不良反应的情况。结果：哺乳期 IUD 放置术中，观察组穿孔率和带器妊娠率显著低于对照组（P ＜0.05）；两组1～3个月不良反应发生率观察组低于对照组（P ＜0.05）。结论：经阴道超声引导可视技术能大幅降低哺乳期 IUD 放置术中的子宫穿孔率，减少甚至消除传统放置术中存在的潜在风险，适于临床推广。
Objectives：To investigate the value of visual technology guided by ultrasound in the placement of intrauterine device （IUD）for lactating women.Methods：The clinical date of 440 lactating women who need to place IUD at Maternal and Child Health Hospital from January 2010 to January 2013 was respectively analyzed.Ac-cording to different arriving time to the hospital,they were divided into two groups.Patients in group A were placed IUD guided by ultrasound,while those in group B were given traditional way to place IUD which was without ultra-sonic guidance.The operation -related perforation rate,pregnancy rates with IUD and other adverse reaction in the two groups were compared.Results：The perforation rate,pregnancy rate with IUD and incidence of adverse reac-tion after 1 to 3 months placement of IUD reaction in group A were all markedly lower than those in group B.Conclusion：Application of visual technology guided by ultrasound in the placement of IUD for lactating women can significantly reduce the perforation rates and even eliminate the potential risks existing in the traditional placement operation of IUD,thusly worthy of recommendation.
出处
《中国性科学》
2015年第5期110-112,共3页
Chinese Journal of Human Sexuality
基金
广东省惠州市科技计划项目(20140802)
广东省医学科学技术研究基金支撑项目
关键词
超声引导
IUD
放置术
哺乳期
Ultrasound guidance
Placement operation of IUD
Lactating women
