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Abstract
Aim of study: To reduce the pain and duration of the intrauterine device (IUD) insertion procedure through minimizing instrumentation and using trans-abdominal sonography (TAS).
Methods: This randomized control trial was conducted in a university hospital and included 102 eligible females, fulfilling the inclusion criteria. They were randomly assigned into two groups via 1:1 computer-based randomization program; the trans-abdominal guided IUD insertion group (n = 51), and the traditional IUD insertion group (n = 51). The main outcomes were the pain experienced during the procedure as scored by the visual analogue score and the duration of the procedure.
Results: The trans-abdominal guided IUD insertion was found to be statistically superior to the traditional technique for IUD insertion regarding the pain scores (according to the Visual Analogue Scale, from 0 to 10) recorded by the candidates (2.4 ± 2.1 vs. 5.0 ± 1.7, p < .001) as well as the time (in seconds) taken for IUD insertion procedure (32.2 ± 14.8 vs. 77.7 ± 30.6, p < .001).
Conclusions: Due to the decrease in pain and time taken for IUD insertion, the trans-abdominal guided technique can be used as a modified technique for IUD insertion.
ClinicalTrials.gov Identifier: NCT02582268.
研究目的：通过减少仪器的使用和使用经腹部超声(TAS)来减少放置宫内节育器(IUD)的疼痛和手术时间。
方法：该项随机对照试验在大学附属医院进行, 包括102名符合纳入标准的女性。他们根据计算机的随机化程序1：1随机分为两组；经腹部引导的放置IUD组（n = 51）和传统放置IUD组（n = 51）。主要的结果为手术过程中通过视觉模拟评分法得出的疼痛评分和手术持续时间。结果：经腹部引导的放置IUD比传统放置IUD技术具有统计学优势, 根据入选患者记录的疼痛评分（通过视觉模拟评分法, 从0分到10分）(2.4 ± 2.1比5.0 ± 1.7, p<.001)和放置IUD的手术时间(以秒为单位) (32.2 ± 14.8比77.7 ± 30.6, p<.001)。
结论：由于放置IUD在疼痛和时间方面的减少, 经腹部引导放置技术可以作为一种放置IUD的改良技术。
Acknowledgements
We thank all the female participants for their collaboration towards accomplishing this study.
Disclosure statement
The authors report no conflict of interest.