摘要：
Objective To explore a new technique of intrauterine device placement and to evaluate its efficacy.Methods A total of 180childbearing age women with contraception demand and requirement for intrauterine device (IUD) placement in the Bengbu Municipal Third People′s Hospital were selected and divided into the control group (80cases, adopting the standard placement technique) and the study group (100cases, adopting the improved placement technique).Results The incidence rate of more bleeding and uterine enlargement rate in the control group were 18.75％and 22.50％respectively, which in the study group were 5.00％and8.00％, and the difference between the two groups was statistically significant (P＜0.05).The incidence rates of abnormal menstruation, abdominal pain, lumbago and leucorrhea at postoperative 1month follow up in the control group were 13.75％, 10.00％, 10.00％and 9.00％respectively, which in the study group were5.00％, 3.00％, 2.00％and 3.00％respectively, the differences between the two groups were statistically significant (P＜0.05), and the location abnormality had no statistically significant difference between the two groups (P＞0.05);the IUD location abnormality and occurrence rate of adverse reactions at postoperative 3, 6months had no statistical difference between the two groups (P＞0.05).Conclusion The improved IUD placement method is feasible and can reduce the occurrence of adverse reactions to a certain extent, which can be popularized in grass-roots hospitals, rural areas and remote areas in the west.%目的 探讨宫内节育器(IUD)放置新技术,并对其疗效进行评价.方法 选取蚌埠市第三人民医院就诊的有避孕要求,且要求放置IUD的育龄期女性180例,分为对照组80例(采用标准放置技术),研究组100例(采用改进后放置技术).结果 对照组出血多的发生率及扩宫率为18.75％、22.50％,研究组为5.00％、8.00％,差异均有统计学意义(P＜0.05);术后随访1个月对照组的月经异常、腹痛、腰痛、白带异常的发生率分别为13.75％、10.00％、10.00％、9.00％,研究组分别为5.00％、3.00％、2.00％、3.00％,差异均有统计学意义(P＜0.05),两组间位置异常发生率差异无统计学意义(P＞0.05);术后3、6个月,两组间IUD位置异常及不良反应的发生率比较,差异均无统计学意义(P＞0.05).结论 改进后IUD的放置方法是可行的,能够在一定程度上降低不良反应的发生,可以在基层医院、农村及西部偏远地区推广应用.
