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目的:探究晚产褥期与经后放置IUD临床效果比较研究的3年结果。方法:将2012年月-2015年1月自愿参与实验调查的800例健康女性为研究对象,依照放置IUD方式,分为经后组与晚产褥期组。每组400例,两组放置活性γ型IUD,TCu220CIUD,宫Cu IUD,铜165IUD各者100例。结果:两组实验人员脱落率,炎症取出率,药铜妊娠率无明显差异存在,P>0.05。活性γ型IUD连续三年存放率最高,药铜165IUD最低,组间数据存在统计学意义,P<0.05。TCu220C的炎症取出率最高,其次为活性γ型IUD和药铜165IUD。结论:活性γ型IUD,TCu220CIUD,宫Cu IUD,铜165IUD适合经后、晚产褥期放置,上述几种IUD不会增加副反应发生率与妇科炎症发生风险。
OBJECTIVE: To investigate the 3-year results of a comparative study of the clinical effects of late-puerperium and late-stage IUD placement. Methods: One hundred and eighty healthy women volunteered for the survey from January 2012 to January 2015 were enrolled in this study. The IUD group was divided into two groups: the post-natal group and the late-born puerperal group. Each group of 400 cases, two groups placed active γ-type IUD, TCu220CIUD, Palace Cu IUD, copper 165IUD each of 100 cases. Results: There was no significant difference between the two groups in the rate of exfoliation, the rate of removing inflammation and the rate of drug-induced pregnancy (P> 0.05). The active γ-type IUD had the highest storage rate for three years in a row, with the lowest IUPT of 165 IUD, with statistical significance between the two groups (P <0.05). TCu220C the highest rate of removal of inflammation, followed by active γ-type IUD and drug copper 165IUD. Conclusions: The active γ-type IUD, TCu220CIUD, Gong Cu IUD and Cu-165IUD are suitable for post-natal and post-natal puerperium. The above IUDs do not increase the incidence of side effects and the risk of gynecological inflammation.