CAJ | 학술논문

　　人工流产时女性对避孕的愿望最强烈，同时放置宫内节育器（IUD）能提高人工流产后有效避孕率，降低重复流产率，节约公共卫生开支。人工流产术后立即放置IUD安全有效，而且并不增加术后疼痛、阴道出血、穿孔和感染等不良反应的发生。人工流产术后立即放置IUD总体的脱落率是低的，放置后的随访非常重要。人工流产术后立即放置IUD是否增加绝经后取器困难尚无定论。放置的IUD主要为活性IUD，包括含铜IUD和含药IUD均可选择。
　　인공유산시녀성대피잉적원망최강렬，동시방치궁내절육기（IUD）능제고인공유산후유효피잉솔，강저중복유산솔，절약공공위생개지。인공유산술후립즉방치IUD안전유효，이차병불증가술후동통、음도출혈、천공화감염등불량반응적발생。인공유산술후립즉방치IUD총체적탈락솔시저적，방치후적수방비상중요。인공유산술후립즉방치IUD시부증가절경후취기곤난상무정론。방치적IUD주요위활성IUD，포괄함동IUD화함약IUD균가선택。
Women generally have strong desire for contraception when they are suffering from artificial abortion. The immediate insertion of an intrauterine device (IUD) after an artificial abortion can induce higher rate of effective contraception and lower rate of repeated abortion,while the cost of public health was finally saved. The immediate insertion of IUD after an artificial abortion is safe and high-effective without increased risks of adverse outcomes,such as pain,bleeding,perforation and pelvic inflammatory disease (PID). Although the rate of IUD expulsion of the immediate post-abortal insertion is low,the follow-up examination is still very important. It's not clear whether the removal of IUD in those women after menopause is difficult. There are two types of IUD for the immediate post-abortal insertion,the copper IUD and the progesterone-releasing IUD.