宫腔镜在宫内节育器常规取出失败后的应用  

The hysteroscopy application in the failed-to-removal of intrauterine contraceptive device by the routine method

作　　者：沈山[1] 高李英[1] 

机构地区：[1]苏州市立医院母子医疗保健中心妇科,江苏苏州215002

出　　处：《中国计划生育和妇产科》2010年第5期55-57,共3页Chinese Journal of Family Planning & Gynecotokology

摘　　要：目的探讨宫腔镜在用常规方法取出宫内节育器(intrauterine contraceptive device,IUD)失败后的临床应用价值。方法回顾性分析117例用常规方法取出IUD失败后的病例,应用宫腔镜处理的结果。结果应用宫腔镜取出断裂、残留、嵌顿等IUD116例,成功率为99.1%(116/117)。117例中,无子宫穿孔、水中毒等并发症发生。结论宫腔镜用于常规方法取出IUD失败的病例,是安全有效的,可作为该类病例的首选诊治方法。Objective To investigate the clinical value of the hysteroscopy in the failed-to-removal intrauterine contraceptive device（IUD）by the routine method.Methods Totally 117 cases of failed-to-removal IUD with the routine method were performed by the hysteroscopy and the results were analyzed retrospectively.Results In the 117 cases,116 cases accepted the hysteroscopy successfully with satisfactory result.The rate of dislodgment of IUD by the hysteroscopy was 99.1%（116/117）,and there was no complications such as uterine perforation and fluid overload.Conclusion The hysteroscopy for the extraction of failed-to-removal IUD by the routine method is safe and reliable and it could be the first choice of the diagnosis and therapy for those patients.

关 键 词：宫腔镜 宫内节育器 宫内节育器取出术 

分 类 号：R711.74[医药卫生—妇产科学]