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目的探讨含药宫内节育器(intrauterine contraceptive device,IUD)MYCu IUD和γ IUD的临床效果。方法选择到宁城县计划生育服务中心放置IUD的健康育龄妇女300例,分别放置MYCu IUD和γ IUD各150例,术后1、3、6、12和24个月随访。结果放置满24个月两组累计带器妊娠率分别为0.68/百妇女年、1.34/百妇女年,累计脱落率分别为0.68/百妇女年、2.02/百妇女年;因出血疼痛取出率分别为1.34/百妇女年、2.68/百妇女年,差异均无统计学意义(P>0.05);5次随访不良反应(主诉)发生率两组差异无统计学意义(P>0.05),不良反应主要为出血和疼痛,妇女基本可耐受;放置时需扩张宫颈口者MYCu IUD组少于γ IUD组,差异有统计学意义(P<0.05)。结论MYCu IUD和γ IUD抗生育效果好,脱落率低,置器后不良反应发生率低,均为效果理想的IUD,临床可依妇女的意愿而选择应用。
Objective To investigate the clinical efficacy of MYCu IUD and γ IUD in intrauterine contraceptive device (IUD). Methods Three hundred and fifty healthy women of childbearing age who were placed in IUD were enrolled in Family Planning Service Center of Ningcheng County. 150 cases of MYCu IUD and γ IUD were placed respectively and were followed up at 1, 3, 6, 12 and 24 months after operation. Results The cumulative pregnancy rates of the two groups were 0.68 per hundred women and 1.34 per hundred women for 24 months respectively. The cumulative exfoliation rates were 0.68 per hundred women and 2.02 per hundred women per year, respectively; There was no significant difference between the two groups (P> 0.05), adverse reactions Mainly bleeding and pain, the women were basically tolerable; when placed to expand the cervix in the MYCu IUD group less than γ IUD group, the difference was statistically significant (P <0.05). Conclusions MYCu IUD and γ IUD have good antifertility effect, low exfoliation rate and low incidence of postoperative adverse reactions. All of them are ideal IUDs and can be applied clinically according to women’s wishes.