宫内节育器异位33例临床分析  

Clinical analysis based on 33 patients with ectopic IUD

作　　者：吴建力 贺明莉[1] 汪佩霞[1] 戴永成[1] 

机构地区：[1]安徽省计划生育科研所,合肥230031

出　　处：《安徽医学》2012年第8期1011-1013,共3页Anhui Medical Journal

摘　　要：目的探讨宫内节育器(IUD)异位的相关因素及诊治方法。方法回顾33例宫内节育器异位病例资料,对节育环放置时机、节育器类型、节育器异位部位、临床症状、手术方式、术中所见等因素进行综合分析。结果哺乳期放置节育器者21例,占63.6%,剖宫产16例,占48.5%。发生异位的IUD类型主要为爱母环、宫型IUD、金属圆环、T型IUD。IUD嵌顿以开放式IUD为主,子宫外异位以封闭式IUD为主。B超是诊断宫内节育器异位的主要且便捷的方法。结论必须加强技术人员业务培训和继续教育以提高技能,正确选择合适的上环时机、按规范随访、及时诊断IUD异位,发现异常应及时取出IUD,避免加重异位甚至出现脏器损伤。Objective To explore the relevant factors and diagnosis and treatment of ectopic intrauterine device （IUD）. Methods A comprehensive analysis was conducted based on clinical data of 33 cases with IUD ectopic, Observation points such as timing of IUD placement, type of IUD, IUD ectopic site, clinical symptoms, surgical approach andoperative findings were recorded. Results 63.6% cases placed IUD during lactation period （21 cases ） , while48.5% during cesarean section （16 cases）. The mainly occurrence of ectopic IUD types are followed by Aimu（Mcu） IUD, Gongxing IUD, Metal rings andT- type IUD. The open- type IUD was the mainly cause of IUD incarcerated, while extrauterine ectopic is more common in closed - type IUD B ultrasound is the main and convenient method for the diagnosis of IUD ectopic. Conclusion The professional training and continuing education should be held to improve the skills of technical personnel and appropriate timing of IUD placement, standardized follow - up, avoiding aggravating the ectopic organ damage, and promptly diagnosis and remove ectopic IUD should be given in an individual manner.

关 键 词：宫内节育器 异位 随访 剖宫产 哺乳 

分 类 号：R169.4[医药卫生—公共卫生与预防医学]