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宫内节育器是简便易行的避孕方法,1次放环可避孕15~20余年之久。但尚有带环受孕、出血等问题。对符合取环条件者,必须取环。我科门诊1989年7月至1991年7月共取环1025例,1023例取环顺利,2例失败。全组无1例并发感染及穿孔等井发症。取环原因: (一)副作用取环397例(38.8%)。其主要表现:①上环后未注意休息,月经量增多,并伴有腹痛、腰胀;②子宫内口狭窄,上环时用力过猛,引起损伤性出血;③避孕环引起子宫内膜炎症反应性出血;④上环时消毒不严,发生感染性出血。出现上述症状的病人经抗炎、止血等治疗无效者,应取环。
IUD is a simple and convenient method of contraception, a ring can be contracted 15 to 20 years. But there are still problems with pregnancy, bleeding and other issues. Those who meet the loop conditions, must take the ring. Our clinic from July 1989 to July 1991 a total of 1025 cases of ring, 1023 cases take the ring smoothly, 2 cases failed. The whole group had no complicated complications such as infection and perforation. Take the ring reasons: (A) 397 cases of side effects (38.8%). The main performance: ① after the ring did not pay attention to rest, increased menstrual flow, and accompanied by abdominal pain, bloating; ② narrow mouth of the uterus, the ring too much force, causing bleeding; ③ ring caused by endometrial inflammation Reactive bleeding; ④ when the ring is not strict disinfection, the occurrence of infectious bleeding. Patients with the above symptoms by anti-inflammatory, bleeding and other treatment is invalid, should take the ring.