绝经后IUD取器前超声测定环距的意义

The Significance of Distance of IUD Measured by Ultrasonography in Postmenopausal Women

目的探讨绝经后妇女IUD取器前超声测定环距是否与取器难度有关。方法对放置IUD绝经后妇女取器前行超声测定环距,分环距>1.5cm,1.5-1.0cm,≤1.0cm三组,比较手术难度,并对绝经≤12月IUD组与对照组的围绝经期综合症、老年性阴道炎、阴道炎、子宫蒌缩情况进行分析。结果环距≤1cm组手术难度显著增加(P<0.05)。绝经≤12个月IUD组与对照组在围绝经综合症、老年性阴道炎、阴道炎、子宫萎缩发生率方面均无显著差异,(P>0.05)。结论绝经后妇女取器前超声测定环距对估计手术难度有一定意义,尤其当环距≤1cm,手术困难明显增加。绝经≤12月IUD对健康没有直接影响。

Objective To study the significance of distance from top of IUD to serosa of uterine fundus measured by ultrasonography in postmenopausal women. Methods According to IUD distance, we divided the postmenopausal women into three group： 〉 1.5cm group one, 1.5 - 1.0cm group two, ≤ 1.0cm group three. Analyzed their degree of difficulty in taking out IUD and compared with control group in perimenopause syndrome, senile vaginitis, vaginitis, uterus atrophy. Results The operation of taking out IUD was obviously difficult in group three. （P 〈 0.05） There was no significant difference between IUD group and control group in perimenopause syndrome, senile vaginitis, vaginitis, uterus atrophy. （P 〉 0.05）. Conclusions It is meaningful to measure the distance of IUD with ultrasound in postmenopausal women. Especially when the distance of IUD is less than 1cm, it will be more difficult in operation of taking out IUD. IUD doesn＇t make bad effects on postmenopausal women＇s health.