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目的通过对三种常用的宫内节育器(以下简称IUD)临床效果的观察,加以分析,为育龄妇女避孕节育知情选择提供临床依据。方法放置IUD前仔细询问病史、月经史及避孕节育史,术后交待注意事项,进行定期随访,然后汇总分析。结果三种不同的IUD,无论初次或再次放置,差别具有统计学意义(P<0.05)宫型IUD和Tcu380在脱落率,带器妊娠率上显示出作为长效避孕措施的优越性,但活性γ型IUD在放置后副反应,因症取出率上明显优于上述二种IUD。结论三种IUD临床效果各占优势,选择IUD时应根据不同个体,作出不同选择。
Objective To analyze the clinical effects of three commonly used IUDs (hereinafter referred to as IUDs) and provide a clinical basis for the informed choice of contraception in women of childbearing age. Methods carefully asked before placing the IUD history, history of menstruation and history of contraception and birth, postoperative care Notes, regular follow-up, and then summary analysis. Results Three different IUDs were statistically significant (P <0.05). IUD and Tcu380 showed the superiority of long-term contraceptive in the rate of abortion and pregnancy rate, but the activity γ-type IUD side effects after placement, removal rate was significantly superior to the above two IUD. Conclusion The clinical effects of three kinds of IUDs are predominant, and IUD should be based on different individuals to make different choices.