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宫内节育器(IUD),在本世纪才发展成为有效的避孕工具,具有经济,比较安全、有效的优点,但近10年来大量的研究报导了这种避孕方法对使用者的危险性,其中子宫穿孔为最严重的并发症。与其它脏器穿孔不同,常无急腹症表现,完全性穿孔还能迅速自愈,仍可妊娠,但也能损伤腹腔其他脏器或引起严重感染。本文复习了有关 IUD 与子宫穿孔的研究。一、IUD 引起子宫穿孔的发生率与死亡率:各家统计不一。Gentile 报告发生率0.05~13‰;Guha-Ray 0.2~8.7‰。穿
IUD, which developed into an effective contraceptive tool in this century, has the advantages of economy, safety and effectiveness. However, a large number of studies in the past decade have reported the danger to users of this method of contraception Uterine perforation is the most serious complication. Unlike other organs perforation, often without acute abdomen performance, complete perforation can quickly self-healing, can still be pregnant, but also can damage other organs in the abdominal cavity or cause serious infection. This article reviews the study of IUD and uterine perforation. First, IUD caused the incidence of uterine perforation and mortality: different statistics. Gentile report the incidence of 0.05 ~ 13 ‰; Guha-Ray 0.2 ~ 8.7 ‰. wear