宫内节育器机械性损伤因素的探讨(附宫腔镜及病理组织学检查)  

Study of machanical Injure Factors of IUD by Hysteroscopy and Pathology

作　　者：李素春[1] 林婵珠[1] 蒋汉琼[1] 刘标英[1] 

机构地区：[1]广东省计划生育科学技术研究所,广东广州510600

出　　处：《实用妇产科杂志》2000年第6期296-297,共2页Journal of Practical Obstetrics and Gynecology

摘　　要：目的 :根据宫腔镜检查和子宫内膜病理组织学检查的结果探讨 IUD引起的出血原因。方法 :对放置 IUD≥ 6个月异常子宫出血者 5 1例 ,对照组 2 4例进行了宫腔镜检查 ,观察了子宫内膜情况及部分病理组织学检查。结果 :发现IUD异常在研究组占 84.3% ,对照组占 2 5 % (P<0 .0 1)。其中部分与宫腔不相适应有关。放置 IU D引起子宫内膜的病理改变较对照组严重 ,其中尤以子宫内膜充血水肿 ,慢性炎症 ,出血 ,组织坏死等多见。使用宫腔镜检查 IUD机械性损伤可以初步判断引起副反应的原因 ,在临床上有一定的实用价值。Object:[WT5”BZ]Hysteroscopic biopsy and pathologic examination of endonetrium were employed for detecting the causes of uferine bleeding after inset IUD.Method:[WT5”BZ]The Hysterosocy and endometrium pathologic biopsy were performed in 51 cases of abnormal uterine bleeding after ≥6 months of insertion.Result:Incidence of abnormal IUD were 84.3% in studing group and 25% in control group ( P <0.01).Some of abnormal IUD may be not compatibie to uterine cavity.The endometrium pathologic changes of study group were more severe than that of control group.Common changes were endometrium congestion, edema, chronic inflammation, bleeding and necrosis.The result suggests that examining IUD machanical injure with hysteroscopy may primaryly determine the causes of side reactions and it is valuable in clinical pratice.

关 键 词：宫腔镜 宫内节育器 病理组织学检查 机械性损伤 

分 类 号：R169.41[医药卫生—公共卫生与预防医学]