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列沃诺格斯特雷尔52毫克子宫内装置放置没有子宫探测:一个可行性研究

Jewel A Brown¹, Sheeva Yazdani¹, Nicole Economou¹

¹Department of Obstetrics and Gynecology, University of California, Sacramento, CA, United States.

|October 5, 2024

概括

在没有子宫探测的情况下放置乳腺内置器 (IUD) 是可行的,特别是与并发的超声波. 这种方法减少了仪器的使用时间,但并没有显著减少插入过程中的疼痛.

科学领域:

生殖医学生殖医学
妇科手术妇科手术
避孕药是一种避孕药,用于避孕.

背景情况:

子宫探测是子宫内置器 (IUD) 插入的一个标准步骤.
评估用于IUD放置的替代方法可以提高效率和患者体验.

研究的目的:

评估在不需要进行子宫声检测的情况下放置levonorgestrel 52 mg IUD的可行性.
为了比较与IUD放置相关的仪器时间和疼痛水平,有和没有声波.

主要方法:

一个三阶段的可行性研究涉及levonorgestrel 52 mg IUD插入.
第一个阶段涉及到配位与声响;第二和第三阶段涉及到分别没有声响,有和没有并发超声波的配位.
通过超声波确认的成功安置来定义可行性;测量了仪器时间和疼痛.

主要成果:

在第二阶段 (带有超声波) 的100%的参与者和第三阶段 (没有超声波) 的93.3%的参与者在没有声波的情况下成功安装了IUD.
与传统的配音配音相比,没有声响的仪器仪表时间要短得多.
虽然仪器时间减少了,但在插入过程中经历的最大疼痛在各组之间没有显著差异,并且在第三阶段更高.

结论:

没有子宫探测的Levonorgestrel 52 mg IUD 插入是可行的,特别是当同时使用超声波指导时.
没有声波的放置可以减少仪器仪表的时间,但似乎不会减少最大插入疼痛.

关键词:

宫内器件是一种子宫内器件.长度长度长度长度长度疼痛疼痛疼痛疼痛定位放置放置放置发声的声音发声的声音超声波指导超声波指导

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