未育女青年人工流产术中放置吉妮致美宫内节育器效果

Effect of fixed intrauterine device inserted immediately after abortion of young nulliparous women

目的:观察未育女青年人工流产术中放置吉妮致美宫内节育器(IUD)效果。方法:2019年7月-2020年2月停经10周在本院自愿行人工流产术、二年内无生育计划的未育女青年207例,通过一对一咨询自愿选择术后避孕方法,分为放置吉妮致美的IUD组,口服短效避孕药或避孕套避孕的对照组。比较两组术后月经变化、并发症,12个月内避孕效果。结果:两组流产术后宫腔深度、疼痛评分、出血情况比较无差异,术后随访12个月,IUD组避孕方法续用率(96.0%)高于对照组(62.0%),再次妊娠率(0)低于对照组(9.0%)(P<0.05);异常出血(6.0%)与对照组(1.0%)无差异,并发症发生率(3.0%)与对照组(3.0%)无差异(均P>0.05)。结论:未育女青年人工流产术中放置吉妮致美IUD,对月经的影响、痛经及并发症均较少,相对口服避孕药或避孕套而言,适合二年内无生育计划流产术后避孕。

Objective:To observe the effect of fixed intrauterine device(IUD)inserted immediately after abortion of young nulliparous women.Methods:207young nulliparous women who had no planned parenthood within 2years after abortion because of the unwanted pregnancy during 6-10gestational weeks were selected in this study from July 2019to February 2020.These women were given contraceptive methods after abortion based on one-on-one consultation.The women in group A were given fixed IUD and the women in group B were given short-acting oral contraceptives or condoms.The change of postoperative menstruation,the rate of complications,and the clinical efficacy of contraceptive within 12months after abortion of the women were compared between the two groups.Results:There were no significant differences in the uterine depth,the pain score,and the bleeding after abortion of the women between the two groups.After 12months of followed up,the continuation rate of contraceptive method(96.0%)of the women in group A was significantly higher than that(62.0%)of the women in group B,and the repregnancy rate(0)of the women in group A was significantly higher than that(9.0%)of the women in group B(P<0.05).There were no significant differences in the abnormal bleeding rate(6.0%vs.1.0%)and the complication rate(3.0%vs.3.0%)of the women between the two groups(all P>0.05).Conclusion:Compared with those of oral contraceptive pills or condoms,fixed IUD inserted after abortion for young women nulliparous has less impact on their menstruation,and the occurrences of dysmenorrhea and complications of the women are also less,which is suitable for women without birth plans within two years after abortion.