5896例带器妊娠妇女资料分析

目的:探讨使用宫内节育器(IUD)带器妊娠的可能影响因素和特点,为临床安全使用IUD提供参考建议。方法:回顾性分析2016-2018年全国116个国家级避孕药具不良反应监测点提交的使用IUD带器妊娠不良事件报告5896例资料。结果:对象中首次置器4206例(71.3%),IUD位置改变2814例(47.7%)。IUD在使用初期发生带器妊娠占比较多,之后呈下降趋势。结论:IUD使用早期对年轻对象加强IUD位置的影像学检查可有效减少部分带器妊娠发生,对发生异位妊娠占比高的IUD有必要开展进一步研究。

Retrospective analysis of 5896 women with pregnancy and IUD in situ

Objective:To explore the possible influencing women with pregnancy and intrauterine device(IUD)in situ,and to provide evidence for clinical safe application of IUD.Methods:The date of 5896 women with pregnancy and IUD in situ from 116 national monitoring sites for adverse drug reactions between 2016 and 2018 were analyzed retrospectively.Results:Among them,there were 4206(71.34%)women were inserted IUD for the first time.The IUD location was changed in 2814 women(47.7%).In the early stage of IUD used,the incidence of women with pregnancy was relatively high,followed by a downward trend.Conclusion:Young women inserted IUD should be strengthened the imaging examination of the IUD position in the early stage of IUD used for reducing the incidence of pregnancy with IUD in situ effectively.It is necessary to carry out further research on the types of IUD with high proportion of pregnancy with IUD in situ.