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关于官内节育器(IUD)放置时机问题近年来国内外认为在经后3—7天,或人工流产后,中期引产后、阴道分娩后。国外也有在性交后短期内进行的。至于剖腹产同时放置IUD,我院1984年初至1986年初共处理178例:对象为①破膜及总产程均不超过24小时,②无感染,无阳性体征,血常规正常。③产后同意放置IUD者。操作:为常规剖腹产取出胎儿、胎盘,清理宫腔,子宫收缩良好,术者用右手中食指挟住IUD送入宫腔达底部,均用20—22号不锈钢金属单环。随访结果:178例中随访130例,其中脱落15例占11.53％。妊娠4例占3.08％,因出血多取环5例占3.85％,其它原因取环9例占6.92％,2年积累存放率为74.62％。与月经
On the timing of the placement of IUD In recent years, at home and abroad that post-menopause, or after abortion, mid-term labor, vaginal delivery. There are also foreign short-term after the sexual intercourse. As for the CUD at the same time placed IUD, our hospital from early 1984 to early 1986, a total of 178 cases were treated: the object ① rupture of membranes and the total labor were not more than 24 hours, ② no infection, no positive signs, normal blood. ③ postpartum consent to place IUD. Operation: For routine caesarean section fetus, placenta, uterine cavity cleaning, uterine contraction is good, the surgeon with the right index finger pinch IUD into the uterine cavity at the bottom, are used 20-22 stainless steel metal single ring. Follow-up results: Among the 178 cases, 130 cases were followed up, of which 15 cases were lost 11.53%. 4 cases of pregnancy accounted for 3.08%, due to hemorrhage more than 5 cases accounted for 3.85% of the ring, 9 cases of ring ring for other reasons accounted for 6.92%, 2-year cumulative deposit rate of 74.62%. And menstruation