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目的:总结重置宫内节育器元宫Cu-365 IUD避孕效果的临床体会。方法:将曾有放置IUD史的,愿意继续使用IUD避孕的育龄妇女500例随机分成2组,分别放置元宫Cu-365 IUD、MCu IUD两种IUD各250例。于放置后1、3、6、12个月进行随访。结果:两种IUD 12个月带器妊娠率分别为0.40%、0.80%,差异无显著性意义(P>0.05);脱落率分别为0.20%、8.40%,差异有非常显著性意义(P<0.01);因症取出率分别为0.80%、3.60%,差异有非常显著性意义(P<0.01);累积续用率分别是94.80%、73.20%,差异有非常显著性意义(P<0.01)。结论:元宫Cu-365IUD具有脱落率低、因症取出率低、累积续用率高的优点,值得临床应用,对于曾有置器失败的育龄妇女,元宫Cu-365 IUD具有可接受性。
Objective: To summarize the clinical experience of IUD contraceptive Cu-365 IUD replacement. Methods: One hundred and fifty cases of women of childbearing age who had IUD history who were willing to continue to use IUD contraception were randomly divided into two groups, 250 cases of Cu-365 IUD and Cuu IUD of IUD respectively. Follow-up was performed at 1, 3, 6 and 12 months after placement. Results: The pregnancy rates of 12 months of two IUDs were 0.40% and 0.80%, respectively, with no significant difference (P> 0.05). The rates of shedding were 0.20% and 8.40%, respectively, with significant difference (P < 0.01). The rate of removing the disease was 0.80% and 3.60%, respectively, with significant difference (P <0.01). The cumulative follow-up rates were 94.80% and 73.20% . Conclusions: Cui Yuan Cu-365IUD has the advantages of low extinction rate, low withdrawal rate and high cumulative follow-up rate, which is worthy of clinical application. Cui-365IUD has acceptable acceptability .