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目的:探讨影响宫内节育器(IUD)放置术成败及避孕效果的相关因素,提出有效预防措施,提高宫内节育器放置术成功率,降低宫内节育器避孕失败率,保护育龄妇女身心健康。方法:采用文献法和电话访谈法,对白云区生殖妇幼保健服务中心2011年10月-2014年5月期间施行的2807例宫内节育器放置术资料进行统计分析。结果:2807例中,置器困难但仍放置成功的247例,其中79例为阴道分娩,168例分娩方式为剖宫产,291例IUD避孕无效。结论:置器困难与受术者的分娩方式有关;手术时期、子宫位置与避孕失败率无统计学差异,施术者职称与避孕失败率呈负相关关系,职称越高,避孕失败率越低。
Objective: To explore the factors that influence the success or failure of IUD placement and to propose effective preventive measures to improve the success rate of intrauterine device placement, reduce the failure rate of IUD contraception, and protect the physical and psychological health of women of reproductive age . Methods: By literature method and telephone interviews, the data of 2807 cases of intrauterine device placement were analyzed statistically from October 2011 to May 2014 in Reproductive MCH center in Baiyun District. RESULTS: Of the 2,807 cases, 247 were successfully placed but were still successfully placed, of whom 79 were delivered vaginally, 168 delivered by cesarean section, and 291 treated with IUD contraceptive. CONCLUSION: The difficulty of device placement is related to the mode of delivery by the surgeon. There is no significant difference between the position of uterus and the failure rate of contraception during operation, and there is a negative correlation between the job title and contraceptive failure rate. The higher the job title, the lower the contraceptive failure rate .