宫内节育器盆腹腔异位的临床研究  

Clinic analysis of the intrauterine contraceptive device abdominal ectopia

作　　者：唐艳[1,2] 乔林[2] 徐克惠[2] 

机构地区：[1]都江堰市人民医院,四川都江堰611830 [2]四川大学华西第二医院,四川成都610041

出　　处：《西部医学》2011年第12期2365-2366,共2页Medical Journal of West China

基　　金：十一五国家科技支撑计划课题(2006BAI15B10)

摘　　要：目的探讨宫内节育器(intrauterine contraceptive device,IUD)盆腹腔异位的预防及诊断。方法回顾性分析华西第二医院2006～2010年住院治疗的15例IUD盆腹腔异位患者的病历资料。结果 15例中有13例在分娩后一年内放置;金属圆形环10例,T型环3例;异位于膀胱1例,肠壁3例,大网膜2例,直肠子宫陷凹3例,阔韧带1例,盆壁1例,子宫表面4例。结论接受宫内节育器避孕患者随访意识差,育龄妇女置环应定期随访及时发现节育器异常情况,及时处理,减少宫内节育器严重并发症的发生,重视围绝经期及绝经后妇女的取环问题,应加强对采取宫内节育器避孕育龄妇女的随访宣教,加强对计划生育技术人员的培训是减少宫内节育器并发症的关键。Objective To investigate the prevention,diagnosis and therapy of intrauterine contraceptive device（IUD） abdominal ectopia.Methods The clinical materials of 15 cases with intrauterine contraceptive device abdominal ectopia treated in the hospital were analyzed retrospectively.Results Among the 15 cases with intrauterine contraceptive device abdominal ectopia,13 cases were insert in a year after delivery,10 cases were round metal IUD,3 cases were T shape IUD,1 case was ectopic at bladder,3 were at bowel,2 were at caul,3 were at pouch of Douglas,1 was at broad ligament,1 was at pelvic wall,and 4 was at the surface of uterus.Conclusion The follow-up of intrauterine contraceptive device is poor.It need to follow up termly after intrauterine contraceptive device insert.The abnormal status can be found and dealt in time.It is important to pay attention to perimenopausal and postmenopausal removing intrauterine contraceptive device.It needs to enhance the intrauterine contraceptive device follow-up and the skill-training of the birth control medical workers,which is crucial for lessening intrauterine contraceptive device complications.

关 键 词：宫内节育器 异位 治疗 

分 类 号：R713.9[医药卫生—妇产科学]