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目的 比较四种节育器放置 1年对妇女月经的影响。方法 对药铜 16 5IUD、活性V形IUD、MLCu375IUD三种宫内节育器和甲硅阴道环四种节育器放置 1年内情况进行追踪观察比较。结果发现活性V形IUD放置 1年月经变化和出血的发生率明显低于药铜 16 5IUD ,MLCu375IUD副反应与药铜 16 5IUD相似 ,三种宫内节育器中活性V形IUD因症取出率最低 ,续存率最高。甲硅阴道环未置于宫腔 ,放置 1年内引起的月经变化明显低于上述三种宫内节育器 ,但易脱落。结论 三种IUD中以活性V形IUD副反应最低 ,续存率最高。甲硅阴道环虽易脱落 ,如能正确掌握放置方法 ,其与活性V形IUD一样为月经过多、经期延长的育龄妇女首选的节育器
Objective To compare the effects of four kinds of IUDs on women’s menstruation for one year. Methods Follow-up observation and comparison of three kinds of IUDs, including 16 5IUD, V-shaped IUD, MLCu375IUD and 1 I-IV device placed inside for one year were performed. The results showed that the incidence of active V-shaped IUD placed 1 year menstrual changes and bleeding was significantly lower than the drug copper 16 5IUD, MLCu375IUD side effects and drug copper 16 5IUD similar to the three IUD activity v-shaped IUD removal rate was the lowest , The highest survival rate. Silicone vaginal ring is not placed in the uterine cavity, placed within 1 year caused by menstruation was significantly lower than the three kinds of IUD, but easy to fall off. Conclusion The three types of IUDs have the lowest VITA reactive side IUDs and the highest survival rates. Although the silicone vaginal ring off easily, if we can correctly grasp the placement method, the same with the active V-shaped IUD for menorrhagia, menstrual period women of childbearing age preferred IUD