CAJ | 학술논문

目的探讨计生免费B超季度检查对放置宫内节育器(IUD)术后的随访价值. 方法本研究对我中心2011年1月~2015年4月放置IUD术后妇女免费B超季度随访检查,共1 141例,所有调查对象均用恩普EMP-830型超声诊断仪进行B超季度检查. 结果 IUD异常者150例,占13.15%,其中环下移149例(13.06%),嵌顿1例(0.09%). 月经异常95例(8.33%),带器妊娠42例(3.68%),绝经过渡期29例(2.54%),合并疾病10例(0.88%),疼痛18例(1.58%),节育环到期37例(3.24%),改用绝育手术30例(2.63%). 人工流产术后放置IUD后移位率明显高于剖宫产后、产后哺乳、月经干净后放置IUD,差异有统计学意义(P<0.05). IUD移位的育龄妇女带器妊娠率明显高于IUD位置正常的育龄妇女,差异有统计学意义(P<0.05). 结论计生免费B超季度检查在放置IUD术后随访过程中有重要的临床价值,可及早发现放置IUD术后可能出现的各种问题,并给予及时处理,使避孕效果明显提高,最大限度地将放置IUD的副作用和并发症降到最低,有利于提高育龄妇女的生殖健康水平.
목적 탐토계생면비B초계도검사대방치궁내절육기(IUD)술후적수방개치. 방법 본연구대아중심2011년1월~2015년4월방치IUD술후부녀면비B초계도수방검사,공1 141례,소유조사대상균용은보EMP-830형초성진단의진행B초계도검사. 결과 IUD이상자150례,점13.15%,기중배하이149례(13.06%),감돈1례(0.09%). 월경이상95례(8.33%),대기임신42례(3.68%),절경과도기29례(2.54%),합병질병10례(0.88%),동통18례(1.58%),절육배도기37례(3.24%),개용절육수술30례(2.63%). 인공유산술후방치IUD후이위솔명현고우부궁산후、산후포유、월경간정후방치IUD,차이유통계학의의(P<0.05). IUD이위적육령부녀대기임신솔명현고우IUD위치정상적육령부녀,차이유통계학의의(P<0.05). 결론 계생면비B초계도검사재방치IUD술후수방과정중유중요적림상개치,가급조발현방치IUD술후가능출현적각충문제,병급여급시처리,사피잉효과명현제고,최대한도지장방치IUD적부작용화병발증강도최저,유리우제고육령부녀적생식건강수평.
Objective To investigate the value of free quarterly B ultrasound examination on postoperative follow-up placed IUD. Methods Collected 1 141 women after IUD insertion quarter free B ultrasound follow-up examination in our center from Jan 2011 to Apr 2015, all respondents were used Enpu EMP-830 type ultrasound diagnostic apparatus quarter with ultra-sonography. Results There were 150 cases with IUD abnormalities, accounting for 13.15%, wherein the ring down was 149 cases (13.06%), incarcerated was 1 cases (0.09%). Menstrual abnormalities were 95 cases (8.33%), pregnancy were 42 cases (3.68%), menopausal transition period were 29 cases (2.54%), 10 cases of comorbidities (0.88%), 18 cases of pain (1.58%), IUD due were 37 cases (3.24%), swith to sterilization were 30 cases (2.63%). After artificial abortion, the displace-ment rate of IUD was significantly higher than cesarean section, postpartum lactation, menstrual clean after IUD insertion, the difference was statistically significant (P<0.05). IUD translocation women of childbearing age with pregnancy rate was signifi-cantly higher than the IUD position of normal women of childbearing age, the difference was statistically significant (P<0.05). Conclusion The clinical value of the free B ultrasound examination in the follow-up process of the placement of IUD , various problems can be found, and give timely treatment, so that the effect of contraception can be improved significantly, the side ef-fects and complications of IUD can be reduced to a minimum , which is beneficial to improve the reproductive health of women of childbearing age.