剖宮產婦女人工流產術后即時放置IUD的臨床觀察

[摘要] 目的 探討有剖宮產史婦女人工流產術后即時放置吉尼致美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產并愿意術后即時放置IUD長期避孕的有剖宮產史婦女480例，隨機分為兩組，每組240例，分別放置TCu380A和吉尼致美IUD，于放置后1、3、6、12個月隨訪，比較其避孕效果及副反應發生情況。 結果 隨訪滿1年，放置吉尼致美IUD組在腰腹痛、經量增多方面明顯低于TCu380A IUD組，差異有統計學意義（P<0.05）。吉尼致美IUD和TCu380A IUD的妊娠率、脫落率、因癥取出率、續用率方面分別為1.25%、1.67%、3.75%、93.33%和2.50%、8.83%、8.83%、80.84%。脫落率和因癥取出率吉尼致美IUD明顯低于TCu380A IUD，續用率TCu380A低于吉尼致美IUD差異均有統計學意義（P<0.01）。 結論 吉尼致美IUD具有安全、可靠、避孕效果好、副作用小的優點，是廣大剖宮產婦女人工流產術后放置IUD長期避孕的理想選擇。

[關鍵詞] 瘢痕子宮；人工流產；宮內節育器；避孕效果；副反應

[中圖分類號] R169.4 [文獻標識碼] B [文章編號] 2095-0616（2012）22-225-03

Clinical observation on putting iud about women caesarean birth after induced abortion immediately

CHEN Sifeng

Service Station of Family Planning of Pengzhou City in Sichuan Province， Pengzhou 611930， China

[Abstract] 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 （P<0.05）.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 （P<0.05）. 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.

[Key words] Scarred uterus； Induced abortion； Intrauterine device； Contraception effect； Side effect

放置IUD避孕具有安全、有效、可逆、經濟簡便的優點，是我國育齡婦女樂于采用且應用最多的避孕方法。人工流產對婦女心理、身體、時間及經濟都有一定影響，使之對今后避孕有強烈的愿望。為尋求一種安全、有效，副作用小，更適合有剖宮產史婦女人工流產后放置的IUD，筆者對剖宮產婦女人工流產術后即時放置吉尼致美IUD進行觀察，現報道如下。

1 資料與方法

1.1 一般資料

選取2009年1月～2010年12月底，在筆者所在站門診就診的有剖宮產史婦女妊娠在10周以內要求終止妊娠并術后愿意立即放置IUD長期避孕的婦女，術前詳細詢問……