300例吉妮致美宫内节育器替代输卵管结扎术的避孕效果分析.docVIP

300例吉妮致美宫内节育器替代输卵管结扎术的避孕效果分析 　　[摘要] 目的 探讨吉妮致美宫内节育器替代输卵管结扎术的避孕效果。 方法 选择本站2013年1～6月符合放置吉妮致美宫内节育器替代结扎术的300例育龄妇女作为研究对象，在术后1、3、6、12、24月进行随访，评估其避孕效果。 结果 300例育龄妇女中，吉妮致美宫内节育器放置成功率为99.33%（298），无一例发生带器妊娠、脱落及因症取器等情况，续用率100%；术后3个月白带增多的发生率为12.08%，月经增多的发生率为3.69%，不规则出血的发生率为4.36%，经期延长的发生率为6.04%；疼痛的发生率为2.68%。术后6个月白带增多的发生率为9.06%，月经增多的发生率为2.68%，不规则出血的发生率为6.38%，经期延长的发生率为2.68%，疼痛的发生率2.01%。术后12、24月的不良反应基本稳定，不良反应发生率约为1%。 结论 吉妮致美宫内节育器替代输卵管结扎术能减低手术风险，避孕效果好，手术对象易于接受，是开展计划生育手术知情选择服务的一种较易实施的方法。 　　[关键词] 吉妮致美宫内节育器；卵管结扎术；避孕效果 　　[中图分类号] R169.41 [文献标识码] A [文章编号] 1674-4721（2015）06（a）-0099-03 　　Analysis of contraceptive effect for 300 cases of Jenefox intrauterine device instead tubal ligation 　　WU Xiao-mei 　　Family Planning Service Station of Enping City in Guangdong Province，Enping 529400，China 　　[Abstract] Objective To study the analysis of contraceptive effect for 300 cases of Jenefox intrauterine device instead tubal ligation. Methods 300 women of reproductive age in our station from January to June 2013 placed Jenefox intrauterine device instead tubal ligation were selected as research object，1，3，6，12 and 24 months after operation were followed up，contraceptive effect was assessed. Results Jenefox intrauterine device of placement success rate was 99.33%（298/300）in 300 women of reproductive age，there were no pregnancy，shedding，disease with IUD，continuation rate was 100% at 3 months after surgery，leucorrhoea grow in quantity rate was 12.08%，menstrual increase rate was 3.69%，irregular bleeding rate was 4.36%，prolonged menstruation rate was 6.04%，pain rate was 2.68%.6 months after surgery，leucorrhoea grow in quantity rate was 9.06%，menstrual increase rate was 2.68%，irregular bleeding rate was 6.38%，prolonged menstruation rate was 2.68%，pain rate was 2.01%.The side reaction was basically stable at 6，12 months after surgery，the side reaction rate of around about 1%. Conclusion Jenefox intrauterine device instead tubal ligation can reduce the operation risk，the contraceptive effect was good