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目的观察新型宫内节育器(IUD)活性γ型IUD的临床效果和不良反应。方法选择在计划生育门诊自愿放置活性γ型IUD208例受术者,严格掌握手术适应证、禁忌证,对其在受术后1、3、6、12个月随访。结果带器妊娠1例占0.48%,因环位下移(含脱落)取出4例占1.92%,因症取出3例占1.49%,累计续用率达96.15%。术后1个月,腰腹酸痛、月经改变等不良反应发生率较高,但3个月后不良反应发生率明显下降且症状减轻。结论活性γ型IUD设计合理,临床效果好,不良反应少而轻,适合在基层推广使用。
Objective To observe the clinical effects and adverse reactions of γ-type IUD with a new type of intrauterine device (IUD). Methods We chose to voluntarily place active γ type IUD208 cases in family planning clinic and strictly control the operation indications and contraindications. All the patients were followed up 1, 3, 6 and 12 months after operation. Results 1 case of pregnancy with a device accounted for 0.48%, due to the ring down (including off) removed 4 cases accounted for 1.92%, 3 cases due to disease accounted for 1.49%, the cumulative continued rate of 96.15%. One month after operation, the incidence of abdominal pain, menstrual changes and other adverse reactions was high, but the incidence of adverse reactions decreased significantly and symptoms relieved after 3 months. Conclusion The active γ-shaped IUD has a reasonable design, good clinical effect, less adverse reactions and is suitable for promotion and use in the grassroots.