【摘要】 目的:探讨妇女宫内节育器(intrauterine device,IUD)常规取器失败后于宫腔镜或腹腔镜下取器的临床效果。方法:337例常规取器失败患者于宫腔镜下定位取器,26例移位至腹腔患者行腹腔镜手术取器。结果:362例取器成功,成功率99.7%,其中19例宫腔镜电切下取出,1例因阴道缩窄,未取出,26例节育器穿出子宫,于腹腔镜下取出。结论:妇女难取性IUD在宫腔镜指导下取器是一种直观、可靠的方法,移位于腹腔的IUD在腹腔镜下取器损伤小,康复快,疗效满意。更多还原

【Abstract】 Objective:To discuss the clinical effects of hysteroscopy or laparoscopy for the removal of intrauterine device(IUD),after failed in the conventional way.Methods:In 363 patients who failed in the conventional way,337 cases were performed by hysteroscopy,and 26 cases were underwent laparoscopy.Results:In the 363 patients with IUD,IUD was successfully removed out through hysteroscopy or laparoscopy in 362 patients,in which 19 cases were performed with hysteroscopic electrocision.One failed because of vaginal narrow.26 cases whose IUD moved to pelvic cavity were performed by laparoscopy.Conclusions:IUD removed by hysteroscopy is reliable and intuitive,and IUD removed by laparoscopy can decrease injury and recover quickly.更多还原