CAJ | 학술논문

目的：评估阴道超声引导可视技术在哺乳期宫内节育器（IUD）放置中的临床应用价值，减少常规操作盲目性，降低手术风险。方法：选择2010年1月至2013年1月放置宫内 IUD 的哺乳期妇女440例，按就诊顺序分为两组，观察组行超声引导可视下放置 IUD，对照组行普通 IUD 放置。比较观察组与对照组 IUD 放置术的子宫穿孔率，1、3、6、12个月后发生不良反应的情况。结果：哺乳期 IUD 放置术中，观察组穿孔率和带器妊娠率显著低于对照组（P ＜0.05）；两组1～3个月不良反应发生率观察组低于对照组（P ＜0.05）。结论：经阴道超声引导可视技术能大幅降低哺乳期 IUD 放置术中的子宫穿孔率，减少甚至消除传统放置术中存在的潜在风险，适于临床推广。
목적：평고음도초성인도가시기술재포유기궁내절육기（IUD）방치중적림상응용개치，감소상규조작맹목성，강저수술풍험。방법：선택2010년1월지2013년1월방치궁내 IUD 적포유기부녀440례，안취진순서분위량조，관찰조행초성인도가시하방치 IUD，대조조행보통 IUD 방치。비교관찰조여대조조 IUD 방치술적자궁천공솔，1、3、6、12개월후발생불량반응적정황。결과：포유기 IUD 방치술중，관찰조천공솔화대기임신솔현저저우대조조（P ＜0.05）；량조1～3개월불량반응발생솔관찰조저우대조조（P ＜0.05）。결론：경음도초성인도가시기술능대폭강저포유기 IUD 방치술중적자궁천공솔，감소심지소제전통방치술중존재적잠재풍험，괄우림상추엄。
Objectives:To investigate the value of visual technology guided by ultrasound in the placement of intrauterine device (IUD)for lactating women.Methods:The clinical date of 440 lactating women who need to place IUD at Maternal and Child Health Hospital from January 2010 to January 2013 was respectively analyzed.Ac-cording to different arriving time to the hospital,they were divided into two groups.Patients in group A were placed IUD guided by ultrasound,while those in group B were given traditional way to place IUD which was without ultra-sonic guidance.The operation -related perforation rate,pregnancy rates with IUD and other adverse reaction in the two groups were compared.Results:The perforation rate,pregnancy rate with IUD and incidence of adverse reac-tion after 1 to 3 months placement of IUD reaction in group A were all markedly lower than those in group B.Conclusion:Application of visual technology guided by ultrasound in the placement of IUD for lactating women can significantly reduce the perforation rates and even eliminate the potential risks existing in the traditional placement operation of IUD,thusly worthy of recommendation.