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目的:研究元宫型含铜含吲哚美辛宫内节育器用于紧急避孕的疗效和不良反应。方法:研究对象为从2012年1月到2013年12月期间来我中心寻求紧急避孕的26例妇女。紧急避孕妇女年龄范围是20~36岁,平均年龄为(29.2±8.9)岁。首先进行常规的妇科检查,尿检,血常规,B超检查。术前排尿,保证阴道清洁,对外阴、阴道和宫颈消毒,根据子宫的大小选择宫内节育器型号,其选择标准为宫腔深度小于5.5cm,选用S号;宫腔深度在5.5~8.5cm间,选用M号;宫腔深度大于8.5cm,选用L号。所用操作均由技术熟练的医生完成,B超全程监测。术后两周内禁止性行为。一个月内禁止盆浴。结果:一年后元宫型含铜含吲哚美辛宫内节育器的妊娠率为0,脱落率为3.8%,续用率为96.2%;出现疼痛2例,占7.7%;出现出血2例,占7.7%;出现月经异常1例,占3.8%;出现分泌物增多3例,占11.5%。结论:本研究中,元宫型含铜含吲哚美辛宫内节育器避孕率为100%,不良反应率较低。但由于本研究的样本量较小,对不良反应率的统计不具有统计学意义,有待大样本研究的进一步证明。总之,元宫型含铜含吲哚美辛宫内节育器用于紧急避孕值得在临床推广。
Objective: To study the curative effect and adverse reactions of Yuan Gong type copper-containing indomethacin IUD for emergency contraception. METHODS: The study population involved 26 women who sought emergency contraception from our center from January 2012 to December 2013. The emergency contraception women range in age from 20 to 36 years with an average age of (29.2 ± 8.9) years. First of all routine gynecological examination, urine tests, blood tests, B-ultrasound. Preoperative urination, to ensure vaginal cleaning, disinfection of the vulva, vagina and cervix, according to the size of the uterus choose IUD models, the selection criteria for the depth of the uterine cavity is less than 5.5cm, the choice of S; uterine cavity depth of 5.5 ~ 8.5cm Room, the choice of M number; uterine cavity depth greater than 8.5cm, the choice of L number. All operations are performed by a skilled doctor, B-monitoring the entire process. Prohibit sexual activity within two weeks after surgery. Ban bath within a month. Results: After one year, the pregnancy rate of the Yuan Gong-type copper-containing indomethacin IUD was 0, the abortion rate was 3.8%, the reusability rate was 96.2%, the pain occurred in 2 cases (7.7%), and the bleeding 2 Cases, accounting for 7.7%; 1 case of abnormal menstruation, accounting for 3.8%; 3 cases of excretion increased, accounting for 11.5%. CONCLUSION: In our study, the contraceptive rate of the Yuan Gong type copper-containing indomethacin IUD was 100% with a low adverse reaction rate. However, due to the small sample size in this study, there is no statistical significance in the statistics of adverse reaction rate, which needs to be further proved by the large sample study. In short, the yuan palace copper-containing indomethacin IUD for emergency contraception worthy of clinical promotion.