超声引导可减少宫内节育器插入时间。

IF 5.1 2区医学 Q1 MEDICINE, GENERAL & INTERNAL

Annals of Family Medicine Pub Date : 2025-09-22 DOI:10.1370/afm.240573

Nayoung Sung, Sally Wonderly, Verna Marquez

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引用次数: 0

摘要

我们调查了超声（US）引导下的宫内节育器（IUD）插入是否与传统方法相比减少了手术时间和疼痛。一项准随机前瞻性研究在联邦合格教学健康中心登记了50例宫内节育器插入。超声引导组（n = 25）在经腹超声引导下行宫内节育器插入，不进行子宫探空和双手检查。在常规组（22例），插入后进行双手检查和子宫探空。美导组手术时间明显缩短（P = 0.033），两组间疼痛评分无差异（P = 0.161）。在宫内节育器插入过程中经腹超声引导可提高手术效率，并可作为教学卫生中心的宝贵工具。

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Ultrasound Guidance Can Reduce IUD Insertion Time.

We investigated whether ultrasound (US)-guided intrauterine device (IUD) insertion reduces procedure time and pain compared to conventional methods. A quasi-randomized prospective study at a Federally Qualified Teaching Health Center enrolled a total of 50 IUD insertion cases. In the US-guided group (n = 25), IUD insertion was performed under transabdominal US guidance without uterine sounding and bimanual examination. In the conventional group (n = 22), insertion was followed by bimanual examination and uterine sounding. The procedure time was significantly shorter in the US-guided group (P = .033), while pain scores were not different between the groups (P = .161). Transabdominal US guidance during IUD insertion may enhance procedural efficiency and serve as a valuable tool in teaching health centers.

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来源期刊

Annals of Family Medicine 医学-医学：内科

CiteScore

3.70

自引率

4.50%

发文量

142

审稿时长

6-12 weeks

期刊介绍： The Annals of Family Medicine is a peer-reviewed research journal to meet the needs of scientists, practitioners, policymakers, and the patients and communities they serve.