宫腔镜在宫内节育器取出困难时的临床应用  

The effect analysis of using hysteroscope in removing difficult IUD

作　　者：杜顺珍[1] 王仲奇[1] 尹红[1] 秦云[1] 

机构地区：[1]安康市中心医院妇产科,陕西安康725000

出　　处：《湖南中医药大学学报》2013年第10期43-44,共2页Journal of Hunan University of Chinese Medicine

摘　　要：目的 评价宫腔镜在宫内节育器（IUD）取出困难中的应用效果.方法 对2010年1月～2012年12月来我院就诊的132例IUD取出困难或失败患者行宫腔镜检查定位取器,取器前阴道后穹窿均放置米索前列醇片600 μg.结果 用宫腔镜定位取出126例,占95.45％,无一例发生子宫大量出血、穿孔等,126例中IUD位置正常33例、部分嵌顿56例、残留21例、移位至子宫肌层及浆膜层16例.结论 宫腔镜在应用于IUD取出困难中具有“直观准确、安全微创”的效果.Objective To evaluate the effect of application of hysteroscope in taking out IUD in difficult cases. Methods 132 patients from Jan. 2010 to Dec. 2012 who were difficult or failed in removing IUD were checked by hysteroscopy to remove the IUD.600ug misoprostol were insertion into vaginal fomix before operation. Results 126 cases included normal IUDs（33 cases）,partial incarceration（56 cases）,residual（21 cases） and shifted to myometrium and placenta percreta（16 cases）,were removed successfully the IUD,no uterine blooding and perforation occurred. Conclusion Hysteroscope had the advantage of direct-viewing,exact,safe and minimal invasive in removing difficult IUD.

关 键 词：宫腔镜 宫内节育器 米索前列醇 绝经期 超声检查 

分 类 号：R169.41[医药卫生—公共卫生与预防医学]