宫腔镜在宫内节育器嵌顿合并宫内早孕治疗中的应用分析  

Analysis of hysteroscopy IUD incarcerated merger for early pregnancy

作　　者：陈雁南[1] 杨立[1] 任琛琛[1] 李飞燕[1] 李倩[1] 

机构地区：[1]郑州大学第三附属医院妇产科,河南郑州450052

出　　处：《中国内镜杂志》2014年第12期1312-1314,共3页China Journal of Endoscopy

摘　　要：目的分析宫腔镜应用于治疗宫内节育器嵌顿合并宫内早孕的临床价值。方法回顾性分析53例宫内节育器嵌顿合并宫内早孕患者临床资料,其中23例采取彩超监视下宫腔镜取出宫内节育器+清宫术,余30例行彩超监视下清宫术+取环术。结果宫腔镜治疗宫内节育器嵌顿合并宫内早孕手术时间为(24.9±2.8)min、手术成功率达95.7%(22/23)、节育环取出无残留率为95.7%(22/23);对照组手术时间为(33.3±4.9)min、手术成功率70%(21/30)、节育环取出无残留率63.3%(19/30),两组比较差异均有显著性(P<0.05)。结论对于宫内节育器合并宫内早孕要求终止妊娠的患者,宫腔镜可以在终止妊娠的同时取出嵌顿宫内节育器,定位准确,但要防止并发症。[ Objective ] To analyze the clinical value of hysteroscopy used in the treatment of the IUD incar- cerated with intrauterine pregnancy. [ Methods ] A retrospective analysis of 53 cases of the IUD incarcerated merger early pregnancy in patients was conducted. 23 of which took the ultrasonography monitoring hysteroscopy IUD ＋ curettage. The other 30 under ultrasonography monitoring took IUD surgery ＋curettage. [Results] Hysteroscopic treatment of IUD incarcerated merger early pregnancy operative time was （24.9±2.8） min, the surgical success rate was 95.7% （22/23）, IUD removed without mutilation rate of 95.7% （22/23）. The control group were （33.3±4.9） rain, the surgical success rate was 70% （21/30）, IUD removed without mutilation rate of 63.3% （19/30）, the two groups were statistically significant difference （P 〈0.05）. [ Conclusion ] Request for termination of pregnancy in patients early pregnancy intrauterine IUD merger, hysteroscopy can remove the termination of pregnancy while incarcerated IUD, accurate positioning, but, to prevent complications was necessary.

关 键 词：宫腔镜 节育器嵌顿 宫内早孕 

分 类 号：R713[医药卫生—妇产科学]