宫腔镜腹腔镜治疗难取宫内节育器79例临床分析  

Analysis on Valueof Hysteroscopy and Laparoscopic in the 79 Removing Difficult IUD

作　　者：郭俊利[1] 葛华[1] 

机构地区：[1]包头医学院第一附属医院妇产科,内蒙古包头014010

出　　处：《内蒙古医学杂志》2017年第3期288-290,共3页Inner Mongolia Medical Journal

摘　　要：目的探讨妇科宫腔镜腹腔镜治疗难取宫内节育器(IUD)的临床效果和安全性。方法回顾性分析2011年1月至2015年12月我院收治的79例反复取环失败患者行宫腹腔镜治疗的临床资料。结果79例全部成功取器,其中21例经宫腔治疗镜取出;40例经手术宫腔镜取出,其中2例同时行宫腔粘连切除术,3例同时行黏膜下子宫肌瘤切除术;8例在腹腔镜监测下经手术宫腔镜取出;9例在腹腔镜下取出;1例开腹手术取出。结论宫腔镜腹腔镜技术诊治难取宫内节育器是安全可行的微创治疗,值得临床推广使用。Objective To explore the advantage and security of hysteroscope and laparoscope in hard remved intrauterine device（IUD）.Methods analyze The clinical data of 79 patients with IUD which had difficulty in routine removal procedures received hysteroscopic、laparoscopic removal retrospective of IUD.Results 79 cases of fracture,residue,Part of the ectopic IUD removed successfully by hysteroscopy and laparoscopic.21 cases with intrauterine device were directly removed by hysteroscopy;40cases with intrauterine device were directly removed by hysteroscopy surgery,then 2cases removal of uterine cavity adhesion by hysteroscopy,then 3cases submucosal uterine yomectomy by hysteroscopy in the operation;8cases was taken out by hysteroscopy joint aparoscopic;9cases with IUD removed by laparoscopic.1cases was taken out by open operation.Conclusion Hysteroscopy and laparoscopy provide a minimally invasive treatment and safety for removing difficult IUD.It is worthy clinical promotion.

关 键 词：宫腔镜 腹腔镜 宫内节育器 

分 类 号：R713.4[医药卫生—妇产科学]