中文摘要：

目的：及时了解深圳龙岗地区妇女放置IUD后不良反应、并发症的发生情况。方法：于2008～2009年在深圳龙岗随机选取有放置IUD史的已婚育龄妇女进行结构式问卷调查,内容包括一般人口学特征、生育史和放置IUD后不良反应、并发症的发生情况,并对数据进行统计分析。结果：对2001份调查资料的分析结果显示,研究对象在放置IUD后月经周期、月经量、经血、白带异常率均高于放置IUD前;多数妇女在放置IUD后24h内有少量出血,有21.6%的对象出血超过7天;分别有8.6%、2.8%、3.0%、1.1%、3.3%、0.8%、0.2%、3.0%、2.8%和3.8%的对象报告曾发生过IUD下移、异位、尾丝消失、断裂变形、脱落、嵌顿、子宫穿孔、带器妊娠、急性和慢性盆腔感染;有15%的对象提前取出IUD,其主要原因为出血时间过长、IUD下移、出血过多、腹痛和盆腔感染。结论：育龄妇女放置IUD后仍有一定比例发生各种不良反应或并发症,并导致提前取出IUD,计划生育服务人员应在放置IUD后各时间段有针对性地采取各种预防措施。

英文摘要：

Objective：To understand the prevalence rates of side effects and complications after IUD placed in bearing-age women of Longgang district.Methods：Bearing-age women with a history of inserting IUD were investigated with structured questionnaires during 2008～2009. The contents of the questionnaire included general demographic characteristics,pregnant history,side effects and complications after inserting IUD,and these data were analyzed.Results：Totaled 2001 eligible questionnaires were analyzed.The abnormal rates of menstrual cycle,volume and leucorrhea after inserting IUD were significantly higher than before the surgery.Most of the women complained bleeding within 24 hours after surgery and 21.6% subjects underwent bleeding more than 7 days.The report rate of IUD moving down,ectopic,tail disappearing,broken or distortion,falling off,embedding,perforating on uterine,pregnant with IUD,acute and chronic pelvic infection was 8.6%,2.8%,3.0%,1.1%,3.3%,0.8%,0.2%,3.0%,2.8% and 3.8% respectively. About 15% subjects had the IUD removed,the main reason for the bleeding time were too long,IUD down,abdominal pain and pelvic infectionConclusion：The prevalence rates of side effects and complications of inserting IUD are not very low.Family planning service workers should take pertinent measures within different periods after bearing-age women are inserted IUD.