Das C R, Pradhan G
Department of Obstetrics and Gynaecology, SCB Medical College, Cuttack.
J Indian Med Assoc. 1995 Oct;93(10):375-6.
Follow-up study of 60 cases (group B) of post medical termination of pregnancy Cu-T insertion and 100 cases (group A) of interval Cu-T insertion revealed that menstrual complaints like dysmenorrhoea and menorrhagia were more prevalent in the 1st 3 months. These were more frequently found in group B cases. After one year the incidence reduced to almost nil in both the groups. Pain in lower abdomen and backache, a more frequent complaint in group B in 1st 3 months were also reduced remarkably after one year. Two expulsions in group B and one expulsion in group A had occurred during the 1st 3 postinsertion cycles along with menstrual flow. Failure has occurred in only one case in group B. For some reason or other Cu-T was removed in 11 cases in group A and 5 cases in group B. Desire for another pregnancy was the prime cause of removal of Cu-T in group A and along with this cause menstrual trouble was equally responsible for its removal in group B cases. There was no case of perforation, displacement or ectopic pregnancy reported in the present study, though for a short period.
对60例药物流产后放置铜-T（B组）和100例间隔放置铜-T（A组）的随访研究显示，痛经和月经过多等月经问题在前3个月更为普遍。这些问题在B组病例中更常见。一年后，两组的发病率几乎降至零。下腹部疼痛和背痛在B组前3个月较为常见，一年后也显著减少。在放置后的前3个月经周期中，B组有2例排出，A组有1例排出，均伴有月经。B组仅1例失败。由于某种原因，A组有11例、B组有5例取出了铜-T。A组取出铜-T的主要原因是希望再次怀孕，而在B组，除了这个原因外，月经问题同样导致了铜-T的取出。本研究虽为期较短，但未报告穿孔、移位或异位妊娠的病例。
