宫内器械和上生殖道感染
1Family Health International, Research Triangle Park, North Carolina 27709, USA. dgrimes@fhi.org
Lancet (London, England)
|October 21, 2000
概括
宫内器械 (IUD) 比以前认为的更安全,有证据表明感染或不孕症风险没有显著增加. 当代宫内节育器的疗效与输卵管绝育相提并论,安全性更好.
科学领域:
- 生殖健康 生殖健康
- 传染性疾病 传染性疾病
- 妇科 妇科医生 妇科
背景情况:
- 与宫内器械 (IUD) 相关的上生殖道感染和不孕症的担忧限制了它们的广泛采用.
- 由于方法上的局限,现有研究可能会高估风险.
研究的目的:
- 系统地审查有关宫内器械 (IUD) 相关感染和不孕症的证据.
- 澄清IUD使用对生殖健康结果的实际风险.
主要方法:
- 对现有研究进行系统审查.
- 分析数据,控制诸如性行为和先前存在的感染等混因素.
- 包括针对特定人群的队列研究,例如艾滋病毒阳性女性.
主要成果:
- 在IUD使用者中,显而易见的沙平炎风险可能会被不适当的比较组和过度诊断所夸大.
- 感染风险与未使用宫内节育器的感染女性相似;艾滋病毒阳性女性并发症或病毒泄漏没有显著增加.
- 合理的证据表明,IUD使用不会显著影响输卵管不孕症.
结论:
- 当代宫内节育器比以前认为的更有效,更安全,在效率上与输卵管绝育相竞争.
- 研究设计的方法改进对于IUD的准确风险评估至关重要.
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