放置3种不同节育器5年随访临床效果对比研究.doc

放置3种不同节育器5年随访临床效果对比研究[摘要] 目的：了解不同宫内节育器节育的5年临床效果。方法：在本特区妇女随机放置宫形Cu300、TCu380A和TCu220c各100例，共300例，观察5年。结果：使用5年时，三种IUD妊娠率分别为7.00％、8.00％和7.00％，三组间无显著性差异；脱落率分别为3.00％、14.00％和6.00％，TCu380A明显高于其他两种IUD(P＜0.01)；因出血疼痛取出率分别为4.00％、3.00％和5.00％，三组间无显著性差异。使用5年时，三种IUD续用率分别为81.00％、72.00％和78.00％，以宫形Cu300为高，但无统计学差异。结论：3种宫内节育器避孕效果均较好，但Cu300宫内节育器脱落率低，适合在特区人群推广使用。 [关键词] 宫内节育器；含铜；节育效果 [中图分类号] R713.9 [文献标识码]A [文章编号]1673-7210（2008）03（b）-051-02 Comparative analysis on clinical effects of 3 kinds of different uterine device in our hospital for 5 years in special district MO Yan-fen (Department of Gynecology and Obstetrics,the Xixiang People’s Hospital of Baoan District,Shengzhen City,Shengzhen 518012,China) [Abstract] Objective:To observe the clinical effects of uterine caivty different device using for women in special district in 5 years.Methods:300 special district healthy women were randomized into three groups,IUD Cu300、TCu380A and TCu220c, each having 100 cases. Follow up visits were performed every year until the 60th month after insertion. Results: The 5 year follow up results showed that pregnancy rate in the 5th year were 7.00％,8.00％ and 7.00％, respectively, in these three groups. The difference between the three groups indicated nonstatistical significance. The expulsion rate was 3.00％,14.00％ and 6.00％,respectively. TCu380A was significantly higher than IUD Cu300 and TCu220c(P＜0.01).The rates of removal due to bleeding and pain were 4.00％,3.00％ and 5.00％, respectively, no statistical difference was shown. The cumulative continuation of IUD Cu300, TCu380A and TCu220c were 81.00％,72.00％ and 78.00％ at the 60th month, IUD Cu300 was the highest, but with no statistical significance. Conclusion: 3 kinds of IUD are effective for IUD,but Cu300 is effective for contraception because the expulsion rate was low. It is worthy of wide spreading in special district. [Key words] Intrauterine device; Copper; Uterine effect 为了观察不同宫内节育器的临床效果，自1999年起我们将宫形Cu300与国际公认的效果优良的TCu380A