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目的:观察分析人工流产术后即放置宫内节育器(IUD)的临床效果。方法:选择人工流产后自愿即时放置宫内节育器者的100例作为观察组,于月经干净后3~7天内放置宫内节育器者120例作为对照组。术后1、3、6、12个月定期随访,了解月经情况(月经量增多,经期延长、痛经)、带器妊娠、脱落、不良反应情况。结果:2组术后1、3、6、12个月月经异常发生率比较无统计学差异(P>0.05),带器妊娠率、脱落率、不良反应发生率均无统计学差异(P>0.05)。结论:人工流产术后即放入宫内节育器安全有效,适用于临床。
Objective: To observe and analyze the clinical effect of intrauterine device (IUD) after artificial abortion. Methods: 100 cases of IUD after voluntary abortion were selected as observation group and 120 cases of IUD placed within 3 ~ 7 days after menstruation were clean as control group. Regular follow-up 1,3,6,12 months after surgery to understand the menstrual situation (increased menstrual flow, menstrual prolongation, dysmenorrhea), with pregnancy, shedding, adverse reactions. Results: There was no significant difference in the incidence of menstrual abnormalities between the two groups at 1, 3, 6, 12 months after operation (P> 0.05). There was no significant difference in the pregnancy rate, exfoliation rate and incidence of adverse reactions between the two groups (P> 0.05). Conclusion: It is safe and effective to put the IUD after abortion, which is suitable for clinic.