爱母牌MYCu宫内节育器与TCu220C宫内节育器的临床应用对比

Comparison of clinical application about MYCu IUD and TCu220C IUD

目的探讨爱母牌MYCu宫内节育器(intrauterin econtraceptive device,IUD)与TCu220C宫内节育器(TCu220CIUD)的临床应用效果。方法选择来嘉定中心医院要求放置IUD避孕的育龄妇女,随机放置MYCuIUD与TCu220CIUD各150例,放置后1、3、6、12个月定期随访观察。结果放置满12个月时,MYCuIUD组与TCu220CIUD组累计带器妊娠率均为0.67/每百妇女年,累计脱落率分别为0.67/每百妇女年、2.00/每百妇女年;因不良反应取出率为2.01/每百妇女年、4.14/每百妇女年,差异均无统计学意义(P>0.05);续用率分别为96.00/每百妇女年、92.30/每百妇女年;4次随访主诉发生率MYCuIUD组低于TCu220CIUD组,差异有统计学意义(P<0.05),主诉中最常见的不良反应为出血和疼痛。结论 MYCuIUD抗生育效果好,脱落率低,置器后不良反应小,是效果理想的IUD,值得进一步推广应用。

Objective To observe the clinical effects of AiMu-brand MYCu intrauterine contraceptive device（IUD） and TCu220C IUD.Methods About 300 in reproductive age requested IUD being inserted in Jiading Central Hospital of Shanghai City.Respectively 150 cases were inserted randomly MYCu IUD and TCu220C IUD and regularly were followed-up in the first,third,sixth and twelfth month after insertion.Results The differences were no significance respectively（P0.05） that the accumulative pregnancy rates were 0.67/hundred woman years and 0.67/hundred woman years respectively after inserted 12 months;accumulative expulsion rates were 0.67/hundred woman years and 2.00/hundred woman years;accumulative removal rates due to side effect were 2.01/hundred woman years and 4.14/hundred woman years respectively.The continuation rate was 96.00/hundred woman years and 92.30/hundred woman years respectively.The complaints rate mainly including bleeding and pain of MYCu IUD Group were lower than those of TCu220C IUD Group during the 4 follow-up visits that the difference was obvious significant（P0.05）.Conclusion MYCu IUD with high contraceptive efficacy,low expulsion rate and less side effects is so comparatively ideal IUD that it is worth further being promoted.