剖宫产术式对放置IUD手术影响的探讨

Probe into the Influence of the Cesarean Section on the Intrauterine Device Placement

目的:探讨两种不同的剖宫产术式对以后放置宫内节育器(IUD)手术的影响。方法:对本院208例两种剖宫产术后0·5～2年宫内放置3种类型IUD,比较改良新式剖宫产术与新式剖宫产术引起术后放置IUD困难的差异;观察剖宫产术式对MCuIUD、吉妮IUD和药铜环165IUD放置术的影响。结果:改良新式剖宫产术引起术后IUD放置术的困难因素(子宫倾屈度≤90°、宫腔深度≥10cm、宫颈管狭窄)明显低于新式剖宫产术,差异有显著性意义(P<0·05);改良新式剖宫产术后放置MCuIUD的成功率明显高于新式剖宫产术,差异有显著性意义(P<0·05);MCuIUD、吉妮IUD、药铜环165IUD的放置差异无显著性意义(P>0·05)。结论:改良新式剖宫产术对术后子宫形态及位置影响小,比新式剖宫产术后放置IUD手术操作容易、安全。

Objective： To probe into the influence of two modes of cesarean section on the intrauterine device （IUD） placement. Methods： Three types of IUD were placed to the 280 patients who were treated with two modes of cesarean section techniques from January 2003 to November 2005 in our hospital. The difference of the IUD placement difficulties caused by modified new mode cesarean section and new mode cesarean section were compared. The influence of the cesarean section on the McuIUD, Gynefix INIUD and 165IUD placement were observed. Results： The IUD placement difficulties（ the uterus inclination degree≤90°, the uterine cavity depth ≥ 10cm and the cervical canal contracted） caused by modified new mode cesarean section were significantly less than those caused by new mode cesarean section （P 〈 0.05 ）. The success rate of the McuIUD placement after modified new mode cesarean section was significantly higher than that after new mode cesarean section （P 〈 0. 05 ）. As to the placement of the McuIUD, Gynefix INIUD and 165IUD, the success rates was not significantly different（P 〉 0.05 ）. Conclusion： Fewer influence can be showed on the shape and location of the uterine caused by modified new mode cesarean section than that caused by new mode cesarean section. It is easier and safe for the IUD placement after modified new mode cesarean section than that after new mode cesarean section.