373例哺乳期放置TCu380A 1年临床效果观察

目的:观察哺乳期放置TCu380A宫内节育器(IUD)的临床效果。方法:选择2006年6月2日～2007年6月3日期间到安阳市汤阴县宜沟镇计划生育服务站要求放置IUD观察对象373例。采用生存分析法,分析观察对象使用IUD的1年期带器妊娠率、脱落率、因症取出率等。结果:随访12个月末1例观察对象失访,无带器妊娠者,脱落相关终止率为0.27/每百妇女/年,因症取出率为1.07/每百妇女/年,与IUD使用相关终止率为1.34/每百妇女/年。结论:哺乳期放置Tcu380A宫内节育器安全、有效,优于其他放置时期。

Observation on clinical effect of application of Tcu380A intrauterine device during lactation period for one year in 373 cases

Objective:To observe the clinical effect of application of Tcu380A intrauterine device during lactation period.Methods:A total of 373 cases who applied intrauterine device in family-planning service outlet of Yigou Town from June 2nd in 2006 to June 3rd in 2007 were selected as observation objects;survival analysis method was used to analyze the pregnancy rate with intrauterine device in situ,the exfoliative rate of intrauterine device,and the medical removal rate of intrauterine device at one year.Results:One case was lost to follow up at one year after application of intrauterine device,no pregnancy with intrauterine device in situ occurred,the exfoliative rate of intrauterine device was 0.27% per year,the medical removal rate of intrauterine device was 1.07% per year.The cumulative events ratio due to IUD related reasons was 1.34% per year.Conclusion:Applying Tcu380a intrauterine device during lactation period is safe and effective,which is superior to other periods.