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目的:了解河南省农村地区宫内节育器取出的现状。方法:采用横断面调查方法对2012年1月~2013年6月在10个省管县计划生育技术服务机构要求取出宫内节育器的服务对象进行调查。结果:取出宫内节育器原因排在前3位的依次为计划妊娠(50.60%)、使用期满(20.30%)、出血和月经异常(12.88%),取出宫内节育器的类型主要为TCu220(26.68%)、MCu375(24.72%)、元宫220(18.10%)。取器过程中无1例严重并发症发生,13.62%出现轻度出血,13.06%轻度腹痛。使用13~60个月取出宫内节育器565例(52.71%),宫内节育器使用时间>120个月妇女中放置圆形环(22.70%)排在首位。取出宫内节育器形态异常者占3.82%,与放置年限无关(P>0.05)。结论:宫内节育器是一种安全、有效、可逆、易被接受的避孕方法。
Objective: To understand the status of IUD removal in rural areas of Henan Province. Methods: The cross-sectional survey method was used to investigate the clients who asked for the removal of IUD from 10 provincial-level family planning technical service institutions from January 2012 to June 2013. Results: The top three reasons for removing IUD were planned pregnancy (50.60%), expiration (20.30%), bleeding and abnormal menstruation (12.88%). The type of IUD removed was mainly TCu220 (26.68%), MCu375 (24.72%) and Yuan Gong 220 (18.10%). No serious complications occurred in the process of extraction, mild bleeding occurred in 13.62%, mild abdominal pain occurred in 13.06%. 565 cases (52.71%) of IUDs were removed within 13 ~ 60 months, and circular rings (22.70%) were placed in the first place in women with IUD> 120 months. 3.82% of patients with abnormal intrauterine device removed, had no relationship with placement years (P> 0.05). Conclusion: IUD is a safe, effective, reversible and easily accepted method of contraception.