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Wysłany: Nie 9:36, 19 Gru 2010
Temat postu: new balance outlet IUD mechanical injury Factors _
2.1 hysteroscopy results
1.1 General Information July 2003 ~ July 2006 by placing IUD ≥ 6 months, menorrhagia, menstruation or irregular bleeding in 51 cases for the study. Bleeding after IUD placement organizations by hysteroscopy to remove uterine bleeding caused by other illnesses (such as uterine fibroids, ovarian lesions,
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, endometrial polyps, dysfunctional uterine bleeding, etc.). For ≥ 6 months of IUD placed no abnormal symptoms, menstrual regularity and some non-medical reasons for 24 patients need to take control as the control group. Uniform requirements according to history taking, gynecological examination, examination of hemoglobin, red blood cell count, a clotting time and platelet count and so no abnormalities. Age groups 22 to 52 years, with an average of 32 to 34 years old. Study group set IUD 1 ~ 5 years in 42 cases, of which <2 years, 35 patients (70%); 6 to 14 years in 9 cases.
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2.1.1 uterine cavity morphology after hysteroscopic visual length to the palace and the Palace of the mouth to determine the width of the bottom cavity shape. Equilateral triangle with the two groups is more common, a total of 55 cases,
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, accounting for 73.3% of all patients. The study group showed scallop-shaped cavity in 12 cases, 23.5%; control group 3 patients, accounting for 12.5%; study group 5 cases in a narrow cavity, accounting for 9.8%; control group was 0.
Key words
2 results
With the extensive use of IUD, abnormal bleeding after IUD placement, and abdominal pain and other adverse reactions is the main reason for termination of use of IUD. However, the reasons causing bleeding is not very clear so far,
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, been the demand of domestic and foreign scholars, such as the uterus, abnormal synthesis of prostaglandins, local microcirculation, endometrial changes and viral infection. Based on the results of hysteroscopy causes of bleeding caused by IUD, and the results reported below.
IUD factors of mechanical injury
<div style=\ Abstract Objective According to the results of hysteroscopy intrauterine device (IUD) causes of bleeding caused. Methods of placing IUD ≥ 6 months of abnormal uterine bleeding in 51 cases and the control group were 24 cases of hysteroscopy. The results showed that abnormal IUD 84.3% in the study group and control group accounted for 25.0% (P <0.01). Some of which are incompatible with the uterine cavity about. Placed IUD Endometrial pathological changes caused by more serious, especially in the endometrial edema, chronic inflammation, hemorrhage, tissue necrosis common. IUD use hysteroscopy to determine the initial mechanical operation can cause side effects caused by, have some practical clinical value. Conclusion IUD placed irregular uterine bleeding after mechanical injury associated with the IUD.
1 Materials and Methods
2.1.2 IUD Study Group put the type of metal ring 33 cases,
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, T-9 cases, 2 cases of maternal type music, house type 6 cases, V-1 case, place the control group metal ring in 20 cases, T-3 cases, 1 case of plastic birth control spending.
1.2 method checks the time in the menstrual clean 3 to 5 days to inspect some of the reduction in bleeding. Uterine morphology were observed, IUD location, shape, size, and the relationship between the uterine cavity. IUD Study Group object in the replacement of 1,3,6,12 months after the follow-up 1.
2.1.3 IUD and intrauterine IUD study group the relationship between the shape, size,
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, shape group of intrauterine compatible with the 28 cases, accounting for 54.9%; control group of 19 cases, accounting for 79.2%; incompatible with the uterine cavity of 23 patients, 45.1%; control group in 5 cases, 20.8%; the difference was not statistically significant between two groups. IUD study group shift, fracture, impaction, deformation and embedded endometrium in 43 cases, 6 cases in control group, the difference was statistically significant (P <0.01). Table 1. Table 1 hysteroscopic relationship between IUD and uterine cavity
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