2054例围绝经期及绝经后妇女宫内节育器使用年限及取出情况调查

Removal Rate and Service Time of Intrauterine Devices among 2054 Peri- or Postmenopausal Women

目的：了解围绝经期及绝经后妇女宫内节育器（IUD）的取出情况及实际使用年限。方法：以在黄浦区居住且末次使用避孕方法为IUD的45～60岁妇女为研究对象，于2011．08～12期间开展横断面调查，共调查2167人，其中2054人纳入分析。结果：研究对象平均年龄52．4±4．0岁。1160例已绝经的妇女中，63例（5．4％）使用的IuD仍未取出，其中15例IuD已放置至绝经后5年以上；IUD的平均宫内放置时间为18．9±5．7年，50．2％的IUD使用者宫内放置时间〉20年。732例未绝经的妇女中，IUD的平均使用年限为17．3±5．7年，有51．1％的女性使用IUD已超出建议使用期限。结论：绝经后IUD过期使用情况严重，相当一部分正在使用的IUD已超过了使用期限。

Objective： To estimate the removal rate and the service time of intrauterine devices （IUDs） in uterine among peri- or post-menopausal women. Methods： A cross-sectional study was developed in Huangpu District, Shanghai between August and December 2011. A total of 2 167 women aged 45-60 years were interviewed who used IUD as the last contraceptives and lived in Huangpu District. Totally 2 054 women were included in final analysis. Results：The mean age of participants was 52.4 ±4.0 years. Among 1 160 postmenopausal women, 63 （5.4%） had not removed the IUDs. The mean duration of service of IUDs in uterus was 18.9 ± 5.7 years, and 50.2% of IUDs had stayed in uterus for ≥20 years. Among 732 women before menopause, the mean service time of IUDs in uterus was 17.3 ± 5.7 years, and 51.1% of IUDs in use had exceeded the recommended service time. Conclusion： Most of the IUDs had been removed after menopause. However, quite a lot of IUDs in use had exceeded their recommended lifespans.