西部某地农村妇女宫内节育器的取出原因及难易程度分析

Analysis of reasons and difficulty of IUD taking out in western China rural area

目的了解西部地区农村妇女宫内节育器取出的原因及取环难易程度，探讨农村妇女更适合的节育器种类及方法。方法对简阳市玉成计生站及四川省医学科学院附属医院妇产科计划生育门诊2003年1月～2008年9月取环农村妇女3395人的取环原因及取环难易程度进行分析。结果取环原因：移位占29．9％，放置时间到期占26．6％，因病症取出占25．3％，绝经占12．8％，带环受孕占2．9％，需要生育占z．1％。其中取出顺利占86．0％，困难占3．2％，嵌顿占6．9％，大部分嵌顿占3．8％，失败3例。结论加强节育器放置术后的随访，因症取出和取器困难可减少。提高放置技术和注意术后休息可减少节育器移位。绝经后一年内取器可减少取器困难。

Objective In order to understand the reasons and difficulty of taking out the IUD in rural area. Methods To summarized the reasons and difficulty of taking out the IUD in rural women who taken out IUD at the Yucheng town birth control station of Jianyang and Department of Gynecology and Obstetrics of The Affiliated Hospital of Sichuan A- cademy of Medical Sciences in January, 2003 to September, 2008. Results The reasons of taking out IUD were includ- ed： the IUD shifting （29.9%）, the overdue IUD （ 26.6%）, sickness （25.3%）, menopause （ 12.8%）, pregnance （2.9%）, needing birth （2.1% ）. There were 86.0% and 3.2% without and with difficult to take out, respectively, 6.9% and 3.8% with incarceration and partly incarceration, respectively. There were 3 cases with failure. Conclusions It can reduce incidences of difficult to take out to strengthen follow-up after IUD placed, remove because of disease, im- prove the placement of technology and rest after IUD.