宫腔镜在106例困难取环中的应用分析  

Application Analysis of Hysteroscopy In 106 Cases of Difficult Taking Out IUD

作　　者：姜改莉[1] 贺文咏[1] 燕海娅[1] 

机构地区：[1]宝鸡市妇幼保健院计划生育科,宝鸡721000

出　　处：《中国医药导刊》2011年第9期1522-1522,1493,共2页Chinese Journal of Medicinal Guide

摘　　要：目的:探讨宫腔镜在困难取环术中的应用价值。方法:B超监测或盲视下取环失败,经B超证实IUD位置正常、疑部分嵌顿或断裂残留于宫腔者106例,采取在宫腔镜下取环术。结果:宫腔镜发现IUD位置正常27例,部分嵌顿35例,断裂残留21例,扭曲变形13例,均经宫腔镜下成功取出。结论:常规取环失败后,应行B超检查,排除IUD异位后行宫腔镜下取环术,安全性好,成功率高。Objective： To investigate application value of hysteroscopy in difficult taking out IUD. Methods： The 106 eases that was failed in taking out IUD at B ultrasound monitoring or blindness and was confirmed that the position of the IUD was normal, suspect part incarceration or fracture residues by B ultrasound.Then they were taken out IUD by hysteroscopy. Results： Hysteroscopy revealed that the position of IUD wa.s normal in 27 cases, partial incarcerated in 35 cases,fault residua in 21 cases,twist deformation m 13 cases. The all IUD were taken successfully by hysteroscopc .The rate of success is 100%.Conclusion： B ultrasound examination should be done,after the failure of conventional taking out lUD,it could exclude the IUD was ectopic. Then the operation of taking out IUD by hysteroscope was safe and had a high success rate.

关 键 词：宫腔镜 取环术 

分 类 号：R169.4[医药卫生—公共卫生与预防医学]