宫内节育器异位33例临床分析

【摘要】 目的探讨宫内节育器(1UD)异位产生的原因及处理的方法。方法:回顾分析贵阳市计生所2005～2009年33例IUD异位的原因及处理经验。结果:33例中21例系哺乳期上环,12例曾带器妊娠未取出。IUD深嵌于子宫肌层19例。33例中除1例经后穹窿切开取出外,32例经剖腹取出,其中24例因嵌入肌层过深或粘连紧密分离困难而行剪断抽丝取出。完整取出未术变者7例。结论:哺乳期子宫薄、软,加之操作者技术不熟练造成上环致子宫穿孔的主要原因。带环受孕者应先行取环术。剖腹取环手术要慎重,做好术中应急情况的准备。更多还原

【Abstract】 Objective To research of IUD ectopiaand solution. Methods 33 cases in Guiyang Family Planning Bureau timed from 2005 to 2009 were retraced and analyzed. Results 21 of the 33 cases were IUD in lactation period;12 were pregnancy without IUD removed.19 were with IUD deeply inserted in uterus muscularis.Only inlcase IUD was extracted by cutting the posterior fornix,while in the rest 32 cases,IUD were extracted by caesarean operation,among which 24 were extracted by cutting IUD clue because of excessive deep muscularis insertion or tight adhersion leading to had separation. Therefore,only 7 IUD in such cases were extracted without deformgion. Conclusion The main causes leading to perforation of uterus are that uterus is thin ang soft in lactation and some of their operators are not skillful.Women in pergnancy with IUD should extract their IUD first.Caesarean operation for IUD extraction should be with great care and preparation for the emergency.更多还原