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目的减少放置宫内节育器(IUD)术后并发症的发生,提高IUD的续用率,提高绝经后取出IUD的成功率。方法对939例IUD取出者做回顾性临床分析。结果 939例IUD取出术中,因出血疼痛取出328例;IUD下移76例,带器妊娠113例,生育计划取出169例,到期146例;绝经后取出107例。其中绝经后107例IUD取出者,术前1周顿服尼尔雌醇4mg,服药第7天行IUD取出术。结论加强对育龄妇女的生殖健康教育,知情选择,提高置器水平,提高IUD续用率;对绝经后取IUD妇女先予软化宫颈药物,提高取器成功率。
Objective To reduce the postoperative complications of intrauterine device placement (IUD), increase the IUD recovery rate, and improve the success rate of IUD removal after menopause. Methods Retrospective clinical analysis of 939 patients with IUD. Results Among the 939 patients who underwent IUD removal, 328 were removed due to hemorrhagic pain; 76 patients underwent IUD downwards, 113 were pregnant with the device, 169 were removed from birth planning, and 146 patients were due to expire; 107 were removed after menopause. 107 cases of IUD after menopause were taken out, preoperative 1 week before serving Dayton nyl estriol 4mg, taking the first 7 days IUD removal surgery. Conclusion Reproductive health education, informed choice, increase the level of device placement and IUD renewal rate are strengthened in women of childbearing age. The IUD women who take IUD after menopause are given soften cervical medicine to improve the success rate of the device.