摘要
目的:探讨人工流产术后不同时机放置T铜(TCu)宫内节育器临床效果。方法:收集2018年3月-2020年3月在本院行人工流产手术160例临床资料,根据放置TCu宫内节育器时机分为对照组(80例,术后第一次月经来潮干净3~7d放置)和即时组(80例,人工流产术后即时放置)。对比放置TCu宫内节育器后月经情况,随访6个月,以了解避孕效果及术后并发症发生情况。结果:放置TCu宫内节育器后月经恢复时间、出血时间、经期、月经量两组比较无差异,放置TCu宫内节育器3个月及6个月后,下腹胀痛、乳胀、腰膝酸软、白带增多等无差异(P>0.05)。放置TCu宫内节育器3个月后对照组续用率(96.3%)与即时组(97.5%),放置6个月后对照组续用率(92.5%)与即时组(95.0%)均无差异(P>0.05)。结论:人工流产术后第1次月经来潮后放置与术后即时放置TCu宫内节育器的安全性和避孕效果相当且均较高,但术后即时放置可避免二次手术,临床使用价值更大。
Objective: To explore the clinical effects of intrauterine device(IUD) inserted of women in different periods after abortion. Methods: The clinical data of 160 women who had undergone abortion from March 2018 to March 2020 were collected. According to IUD inserted in different periods, these women were divided 80 women with IUD inserted in 3-7 days of the first menstruation end after abortion in group A and 80 women with IUD inserted immediately after abortion in group B. The menstrual conditions of the women after IUD inserted were compared between the two groups. The women in the two groups were followed up for 6 months, and the contraceptive effect and the complications situation of the women in the two groups were analyzed. Results: There were no significant differences in the menstrual recovery time, the bleeding time after abortion, the menstrual period, and the menstrual volume of the women after IUD inserted between the two groups. There were no significant differences in the incidences of complications, such as abdominal distension, breast distension, waist and knee acerbity, leucorrhea increase of the women after 3 and 6 months of IUD inserted(P>0.05). There were no significant differences in the rates of continue IUD used for 3 months(96.3% vs. 97.5%) and for 6 months(92.5% vs.95.0%) of the women between the two groups(P>0.05). Conclusion: The safety and contraceptive effect of the women with IUD inserted in 3-7 days of the first menstruation end after abortion and the women with IUD inserted immediately after abortion are similar and are both high. IUD inserted immediately after abortion can avoid operation again, which has greater clinical value.
作者
陆美芳
吴艳芳
杨英
LU Meifang;WU Yanfang;YANG Ying(Pinghu Hospital of Traditional Chinese Medicine,Zhejiang Province,314200)
出处
《中国计划生育学杂志》
2022年第2期361-364,共4页
Chinese Journal of Family Planning
关键词
流产后避孕
不同时机
宫内节育器
避孕效果
Post abortion contraception
Different periods
Intrauterine device
Contraceptive effect
