摘要
【目的】探讨不同宫内节育器(IUD)用于瘢痕子宫育龄期女性的临床效果。【方法】选取本院2015年6月至2018年6月240例剖宫产后瘢痕子宫放置IUD的育龄期女性,根据放置不同IUD分为元宫环组、T型环组、爱母环组、吉妮环组四组,每组60例。比较四组IUD放置术后失败率、不良反应发生率及1~2年的IUD续用情况。【结果】吉妮环组术后失败率(1.67%)显著低于元宫环组(8.33%)、T型环组(16.67%)、爱母环组(8.33%),其差异有统计学意义(P<0.05);吉妮环的不良反应总发生率(18.33%)显著低于元宫环组(35.00%)、T型环组(41.67%)、爱母环组(30.00%),其差异有统计学意义(P<0.05);四组手术2年后IUD续用率均低于手术1年后,吉妮环组手术2年后IUD续用率(88.33%)显著高于元宫环组(61.67%)、T型环组(51.67%)、爱母环组(70.00%),其差异有统计学意义(P<0.05)。【结论】与元宫环、T型环、爱母环比较,吉妮环IUD放置术后失败率和不良反应总发生率低,手术2年后续用率高,值得临床推广应用。
【Objective】To investigate the clinical effect of different intrauterine devices(IUD)on women of childbearing age with scar uterus.【Methods】A total of 240 women of childbearing age with IUD placed in scar uterus after cesarean section in our hospital from June 2015 to June 2018 were selected.According to different IUD placement,they were divided into four groups:Uterine-ring IUD group(n=60),T-type IUD group(n=60),Mycu IUD group(n=60)and Gyneflex IN/S IUD group(n=60),with 60 cases in each group.The failure rate after IUD placement,the incidence of adverse reactions and the continuation of IUD for 1~2 years were compared among the four groups.【Results】The postoperative failure rate of the Gyneflex group(1.67%)was significantly lower than that of the Uterine-ring group(8.33%),the T-type group(16.67%)and the Mycu group(8.33%)(P<0.05);The total incidence of adverse reactions of the Geneflex IN/S group(18.33%)was significantly lower than that of the Uterine-ring group(35.00%),the T-type group(41.67%)and the Mycu group(30.00%).The difference was statistically significant(P<0.05);The IUD continuation rate after 2 years of operation in the four groups was lower than that after 1 year of operation.The IUD continuation rate after 2 years of operation in the Genyflex group(88.33%)was significantly higher than that in the Uterine-ring group(61.67%),the T-type group(51.67%)and the Mycu group(70.00%)(P<0.05).【Conclusion】Compared with Uterine-ring IUD,T-type IUD and Mycu IUD,Gyneflex IN/S IUD has lower failure rate and lower total incidence of adverse reactions after IUD placement with higher continuation rate after 2 years of operation,which is worthy of clinical application.
作者
白瑞
史帆
BAI Rui;SHI Fan(Department of Obstetrics and Gynecology,Zizhou County People's Hospital,Yulin Shaanxi 718499)
出处
《医学临床研究》
CAS
2022年第3期401-403,407,共4页
Journal of Clinical Research
