3种活性宫内节育器的临床应用分析

Clinical application of 3 kinds of medicated intrauterine device

目的:探讨放置3种活性宫内节育器(IUD)有效性和安全性。方法:选取来本中心自愿要求放置IUD育龄妇女353例,按其选择放置IUD的种类分为MYCu组126例、GyneFix组105例、元宫200组122例。观察放置过程及术后2年定期随访情况。结果:MYCu、GyneFix组较元宫200组放置更为顺利,放置顺利比率分别为98.1%、100%、79.5%(P<0.05);放置24个月MYCu、元宫200、GyneFix组因症取出率分别为11.1/百妇女年、9.8/百妇女年、1.0/百妇女年(P<0.05),总终止率分别为17.5/百妇女年、16.4/百妇女年、2.9/百妇女年(P<0.05)。置器24个月3组IUD副作用发生率从高到低依次为MYCu、元宫200、GyneFix(P<0.05);结论:GyneFix术中易于放置,操作简单,术后副作用少、因症取出率低,续用率高。

Objective:To discussion the intraoperative conditions during 3 kinds of medicated intrauterine device(IUD)inserted,and to analysis their efficacy and safety.Methods:353 women in childbearing age who wanted contraception by IUD were selected and divided into group A(126 cases inserted MYCu),group B(105 cases inserted GyneFix),and group C(200 cases inserted Yuangong200).The situations of operation of IUD inserted and the followed up within two years after operation were observed.Results:The rate of success inserted of women in group A or B were 98.1%or 100%,which was significant higher than that(79.5%)of women in group C(P<0.05).The removal rate for medical reasons of women in group C,A and B were 11.1%,9.8%and 1.0%,which had significant difference among the three groups(P<0.05).The total discontinuation rate women in group C,A and B re were 17.5%,16.4%and 2.9%,which had statistical significance difference among the three groups(P<0.05).The incidence of side effect of women within 24 months after IUD inserted in group B was the lowest,but that of women in group A was the highest.Conclusion:GyneFix IUD is easy to insert and has less side effects,its removal rate for medical reasons is low and has high continuation rate.