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目的:探索IUD合并异位妊娠的关系,为临床提供治疗和预防依据。方法:对38例IUD合并异位妊娠资料进行分析。结果:IUD的发生以24~35岁妇女最多,与妇科炎症主要是输卵管炎和盆腔炎有直接的关系,IUD并不增加异位妊娠的发生率,但与盆腔手术的增加,如人工流产术,剖宫产的关系较为密切。IUD合并异位妊娠与IUD放置时间、种类有很大关系。结论:应降低人工流产率,减少剖宫产手术以预防异位妊娠的发生。应减少对不锈钢圆环及塑料环的应用,尽量应用含铜IUD及含孕酮IUD,以降低妊娠率。放器后定期B超随访,减少异位妊娠的发生。
Objective: To explore the relationship between IUD and ectopic pregnancy, providing the basis for treatment and prevention. Methods: 38 cases of IUD with ectopic pregnancy data were analyzed. Results: The incidence of IUD was the highest in women aged 24-35 years. It was directly related to gynecological inflammation, including salpingitis and pelvic inflammatory disease. IUD did not increase the incidence of ectopic pregnancy, but increased with pelvic surgery such as abortion , Cesarean section is more closely related. IUD combined ectopic pregnancy and IUD placement time, type has a lot to do. Conclusion: It should reduce the rate of induced abortion and reduce the incidence of ectopic pregnancy after cesarean section operation. Should reduce the application of stainless steel rings and plastic rings, try to use copper-containing IUD and progesterone IUD, in order to reduce the pregnancy rate. B-regular follow-up after the device to reduce the incidence of ectopic pregnancy.