首页|瘢痕子宫人工流产术后即时放置元宫IUD与曼月乐IUD临床效果比较

瘢痕子宫人工流产术后即时放置元宫IUD与曼月乐IUD临床效果比较

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目的:比较瘢痕子宫女性人工流产术后即时放置元宫IUD和曼月乐IUD临床效果.方法:选取2022年6月-2023年6月本院收治的瘢痕子宫行人工流产术女性104例,按照放置IUD种类的不同分组,分别放置元宫IUD(元宫组54例)、放置曼月乐IUD(曼月乐组50例).随访6个月,比较两组IUD使用效果、阴道出血情况和不良反应.结果:曼月乐组放置1个月、6个月累计续用率(100.0%、90.0%)与元宫组(98.2%、81.5%)无差异(P>0.05);术后阴道出血时间(5.4±2.3 d)及阴道出血量(53.3±10.5 ml)均少于元宫组(7.8±3.1 d、75.7±11.4 ml),不良反应发生率(8.0%)低于元宫组(24.1%)(均P<0.05).结论:瘢痕子宫女性人工流产术后即时放置两种IUD避孕效果相当,但曼月乐IUD可有效改善术后阴道流血情况,降低不良反应发生率.
Clinical effect comparation of Yuangong copper-bearing intrauterine device(IUD)and Mirena IUD inserted of women with scar uterus immediately after induced abortion
Objective:To compare the clinical effect of Yuangong copper-bearing intrauterine device(IUD)and Mirena IUD inserted of women with scar uterus immediately after induced abortion.Methods:104 women with scar uterine who wanted induced abortion and IUD inserted immediately after induced abortion from June 2022 to June 2023 were selected as the research objects.These women were divided into group A(54 women with Yuangong copper-bearing IUD inserted)and group B(50 women with Mirena IUD inserted).The women in the two groups were followed up 6 months after IUD inserted.The effect of IUD used,the vaginal bleeding situation and the occurrence of adverse reac-tions of the women were compared between the two groups.Results:The cumulative continuing rates of the women in group B after 1 month(100.0%)and 6 months(90.0%)of IUD inserted had no significantly different from those(98.2%and 81.5%)of the women in group A(P>0.05).The postoperative vaginal bleeding time(5.4±2.3 d)and the vaginal bleeding volume(53.3±10.5 ml)of the women in group B were significantly less than those(7.8±3.1 d,75.7±11.4 ml)of the women in group A,and the incidence of adverse reactions(8.0%)of the women in group B was significantly lower than that(24.1%)of the women in group A(all P<0.05).Conclusion:The effect of Yuangong copper-bearing IUD and Mirena IUD inserted of the women with scar uterus immediately after induced abortion is simi-lar.Mirena IUD inserted of the women can effectively improve their vaginal bleeding situation and have fewer adverse reactions.

Scarred uterusPost abortion contraceptionIntrauterine device(IUD)Yuangong IUDMirena IUDEf-fectiveness of contraceptionVaginal bleedingAdverse reaction

周晓红、苏爱芳

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浙江省金华市妇幼保健院(321000)

瘢痕子宫 流产后避孕 宫内节育器 元宫 曼月乐 避孕效果 阴道出血 不良反应

2024

中国计划生育学杂志
国家人口计生委科学技术研究所

中国计划生育学杂志

CSTPCD
影响因子:1.759
ISSN:1004-8189
年,卷(期):2024.32(6)