宫内节育器断裂嵌顿39年伴宫腔钙化一例  

A Case Report of IUD Fracture and Incarcerated for 39 Years with Intrauterine Calcification

作　　者：陈晴[1] 曾荔苹[1] 吴瑞芳[1] CHEN Qing;ZENG Li-ping;WU Rui-fang(Department of Obstetrics and Gynecology,Peking University Shenzhen Hospital,Shenzhen 518000,Guangdong Province,China)

机构地区：[1]北京大学深圳医院妇产科

出　　处：《国际妇产科学杂志》2019年第6期625-626,I0001,共3页Journal of International Obstetrics and Gynecology

摘　　要：宫内节育器(IUD)是国内目前应用最广泛的避孕工具,IUD置入时间长容易断裂、嵌顿、异位。一旦发现IUD断裂、嵌顿、异位,应明确诊断,选择安全可靠、创伤性小的手术方法,提高IUD取出的成功率,以避免严重并发症的发生。宫腔镜因其直视且微创,为IUD取出困难提供了新方法。对IUD部分变形、断裂、残留及绝经时间2年以上的老年女性,IUD取出难度大、术中并发症多,可住院在超声监视下宫腔镜取IUD,以减少术中并发症发生率,提高IUD取出成功率。北京大学深圳医院于2019年3月11日收治1例72岁老年女性患者,该患者以IUD断裂、嵌顿入院,入院后超声监视宫腔镜下成功取出IUD。针对该病例资料报道进行相关文献复习。Intrauterine device (IUD) is currently the most widely used contraceptive tool in China. IUD is easy to break, incarcerate and ectopic when placed for a long time. Once IUD is found to be broken, incarcerated, and ectopic, diagnosis should be made. A safe, reliable, and minimally invasive surgical procedure should be chosen to improve the success rate of removing the IUD and to avoid serious complications. Due to direct vision and minimally invasive, hysteroscopy provides a new method for removing the IUD. For elderly women with menopausal time of more than 2 years and IUD partial deformation, fracture and residual, the difficulty of removing the IUD is large and the complications are many. Patients can be hospitalized and underwent hysteroscopic under ultrasound to reduce the incidence of complications and improve the success rate of removing the IUD. Peking University Shenzhen Hospital admitted a 72-year-old female patient on March 11, 2019. The patient was admitted to the hospital with intrauterine device rupture. After admission, hysteroscopic was performed under ultrasound to remove the IUD successfully. This article reviews the relevant literature for the case report.

关 键 词：宫内避孕器 绝经期 宫腔镜 麻醉 

分 类 号：R16[医药卫生—公共卫生与预防医学]