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目的:探讨人工流产术后是否可即刻放置依托孕烯植入剂进行避孕。方法:要求避孕的66例因非意愿妊娠行人工流产术后妇女即刻放置依托孕烯植入剂为研究组,另同期征集84例健康妇女于月经期放置该植入剂作为对照组,术后1、6、12个月随访,随访阴道出血情况,植入剂取出原因,并在放置12个月时进行满意度调查。结果:在放置12个月期间所有对象均未怀孕。研究组闭经/出血稀发发生率为53.0%,出血频发/出血延长发生率为15.1%,对照组闭经/出血稀发发生率为58.4%,出血频发/出血延长发生率为27.3%;满12个月时,研究组取出20例,续用率为69.7%,满意度为69.6%;对照组取出22例,续用率为73.8%,满意度为72.6%。结论:人工流产术后即刻放置依托孕烯植入剂与月经期放置效果相同,人工流产术后妇女即刻放置依托孕烯植入剂进行避孕也是一个较合适的放置时机。
OBJECTIVE: To investigate if contraception can be placed immediately after artificial abortion under artificial abortion. Methods: Sixty-six cases of contraception requiring abortion were randomly assigned to study group. In the same period, 84 healthy women were enrolled in the menstrual period as the control group. After operation, Follow-up at 1, 6, 12 months, follow-up of vaginal bleeding, removal of implants, and satisfaction surveys 12 months after placement. Results: All subjects were not pregnant during the 12 months of placement. The incidence of amenorrhea / bleeding in the study group was 53.0%, the incidence of bleeding / bleeding prolongation was 15.1%, the incidence of amenorrhea / bleeding hair loss in the control group was 58.4%, and the frequency of bleeding / bleeding prolongation was 27.3%. At the age of 12 months, 20 cases were removed in the study group, with a continuance rate of 69.7% and a satisfaction rate of 69.6%. In the control group, 22 cases were taken out, with a continuation rate of 73.8% and a satisfaction rate of 72.6%. Conclusion: Immediate placement of etoposide implants after abortion is the same as that of menstrual periods. It is also an appropriate time for women to place contraception by etoposide immediately after induced abortion.