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目的探讨元宫型Cu365与元宫Ⅰ-220两种宫内节育器的临床效果。方法我院2009年1月—2011年7月,自愿选择放置元宫型Cu365与元宫I-220宫内节育器的已婚育龄妇女分别为423例和694例,总共1117例,进行置器后1、3、6、12个月的临床效果和不良反应分析。结果放置满12个月时随访结果是元宫型Cu365宫内节育器带器妊娠率0.47%,脱落率1.42%,嵌顿率0.00%,因症取出率1.65%和累计续用率96.46%;不良反应:经期延长6.15%,异常出血1.65%,白带增多5.20%,下腹疼痛2.60%。元宫Ⅰ-220宫内节育器带器妊娠率、脱落率、嵌顿率、因症取出率、累计续用率分别为1.59%、1.44%、0.29%、3.60%、93.08%;不良反应:经期延长、异常出血、白带增多、下腹疼痛分别占8.07%、4.76%、5.76%、7.49%。两组节育器指标比较差异有统计学意义(P<0.05)。结论元宫型Cu365宫内节育器避孕效果好,续用率高,不良反应少,具有较高的临床推广价值。
Objective To explore the clinical effect of Yuan Gong Cu365 and Yuan Gong Ⅰ-220 two kinds of IUD. Methods From January 2009 to July 2011, 423 and 694 married women of childbearing age who chose to choose Yuan Gong type Cu365 and Yuan Gong I-220 IUD, respectively, Clinical effect and adverse reaction analysis after 1, 3, 6 and 12 months. Results The results of follow - up after 12 months of placement were as follows: The pregnancy rate was 0.47%, the rate of abortion was 0.42%, the incarceration rate was 0.00%, the removal rate was 1.65% and the cumulative renewal rate was 96.46%. Adverse reactions: menstrual prolongation of 6.15%, abnormal bleeding 1.65%, 5.20% increase in leucorrhea, abdominal pain 2.60%. Yuan Palace I-220 IUD pregnancy rate, abortion rate, incarceration rate, withdrawal rate due to illness, the cumulative continued rates were 1.59%, 1.44%, 0.29%, 3.60%, 93.08%; adverse reactions: Menstrual extension, abnormal bleeding, increased vaginal discharge, abdominal pain accounted for 8.07%, 4.76%, 5.76%, 7.49%. There was significant difference between two groups of IUDs (P <0.05). Conclusion Yuan Gong Cu365 IUD contraceptive effect, continuous use rate, fewer adverse reactions, with a high clinical value.