在将子宫内器件放置之前对子宫进行声波测试是否仍然相关?
1Department of Obstetrics and Gynaecology, Faculty of Medicine and Health Sciences, University of Stellenbosch, Tygerberg Hospital Bellville, Cape Town, South Africa.
International journal of women's health
|November 12, 2025
概括
在将子宫内避孕装置 (IUD) 插入前进行子宫声波,缺乏益处的证据,可能会造成伤害. 目前的指导方针建议放弃这种做法,以简化程序并减少患者的不适.
科学领域:
- 妇科 妇科 妇科 妇科
- 生殖健康 生殖健康
- 医疗器械技术 医疗器械技术
背景情况:
- 200多年来,子宫探测一直是妇科的实践.
- 用热塑性子宫内装置 (IUD) 引入了声波检测.
研究的目的:
- 为了调查临床实践和制造商建议的变化,在IUD放置之前对子宫声波进行调查.
- 评估支持在IUD插入前进行子宫探测的证据.
主要方法:
- 进行了全面的文献搜索.
- 搜索的重点是临床实践的变化和IUD插入的制造商说明.
主要成果:
- 尽管缺乏客观益处的证据,但当前的宫内节育器仍然建议进行声波检查.
- 声波的潜在好处被缺点所抵消,尤其是超声波的可用性.
- 声波测试会产生值得怀疑的测量结果,并且容易出现错误,可能导致IUD放置不正确.
结论:
- 在IUD安置前测试子宫没有支持的证据,是一种过时的做法.
- 放弃声波可以简化IUD插入程序.
- 不发声可能会减少疼痛和将细菌引入子宫内膜腔的风险.
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