CAJ | 학술논문

目的：探讨宫内节育器异位（IUD）的影响因素及预防措施。方法：回顾性分析我中心2012年至2013年宫内节育器放置患者的资料，选取48例出现宫内节育器异位患者记为观察组，选取同期48例未发生异位患者记为对照组，通过单因素分析宫内节育器异位的危险因素、临床表现，同时提出预防措施。结果：宫颈异位患者多表现为月经异常及下腹疼痛，患者发生宫内节育器异位与宫内节育器类型、放置时机、放置时间、放置后临床表现、子宫因素等有明显相关性。结论：宫内节育器异位可能与放置时间、节育器类型、子宫因素等有关，疼痛是发生异位的主要线索，日常工作中对高危患者进行定期随访。
목적：탐토궁내절육기이위（IUD）적영향인소급예방조시。방법：회고성분석아중심2012년지2013년궁내절육기방치환자적자료，선취48례출현궁내절육기이위환자기위관찰조，선취동기48례미발생이위환자기위대조조，통과단인소분석궁내절육기이위적위험인소、림상표현，동시제출예방조시。결과：궁경이위환자다표현위월경이상급하복동통，환자발생궁내절육기이위여궁내절육기류형、방치시궤、방치시간、방치후림상표현、자궁인소등유명현상관성。결론：궁내절육기이위가능여방치시간、절육기류형、자궁인소등유관，동통시발생이위적주요선색，일상공작중대고위환자진행정기수방。
Objective To investigate the influence of factors of IUD and preventive measures.Methods A retrospective analysis of our hospital in 2012 ~2013 1500 IUD placement routine patient data,48 cases of ectopic IUD,denoted as the observation group,se-lected 48 cases occurred in patients with the same period was recorded ectopic the control group,by univariate analysis of risk factors for ectopic IUD,clinical manifestations,and propose preventive measures.Results Cervical ectopic patients showed abnormal menstru-ation and abdominal pain,patients and patients with maternal IUD,intrauterine device type,placement timing,place time after pla-cing the clinical manifestations,uterine factors significantly correlation.Conclusion The IUD may place time,type of IUD,uterus and other relevant factors,pain is the main clue ectopic,the daily work of the high-risk patients for regular follow-up.