【摘要】 目的探讨宫内节育器嵌顿/异位时各种腔镜的联合应用。方法通过对30例患者宫内节育器嵌顿/异位诊治过程的回顾分析来观察联合腔镜技术的应用效果。结果经宫腔镜检查后定位节育器直接取出的有15例;9例出现节育环嵌顿,通过宫腔镜检查后电切取出;5例异位于腹腔的患者,其中3例经腹盆腔分粘后取出,另2例因损伤直肠,术中取出节育环并行腹腔镜修补直肠;1例因考虑损伤膀胱术中联合膀胱镜检查后由宫腔镜取出。结论当节育环取出困难,怀疑有节育器嵌顿/异位时,采用宫腹腔镜联合检查或宫膀胱镜联合诊治具有明显优势,在治疗过程中联合应用诊断更明确且更安全,值得临床推广。更多还原

【Abstract】 Objective To explore the application of combined endoscopic techniques in the intrauterine device embedded or ectopic. Methods Collected 30 cases with intrauterine device embedded or ectopic, retrospectively analysed the process of diagnosis and treatment. Results 15 cases with intrauterine device were directly removed after hysteroscopy examination location; 9 cases were removed by electricity cut after hysteroscopic; 5 cases located in the abdominal cavity, 3 cases of them after points stick out, 2 cases of damage to the rectum, then repair the rectum by laparoscopic in the operation; 1 case was taken out by hysteroscopy joint cystoscopy. Conclusion Used hysteroscopic and laparoscopic joint inspection or hysteroscopy and cystoscope joint inspection, there are more clearly diagnosis and safer in the diagnosis and treatment of the intrauterine device embedded or ectopic. It is worthy clinical promotion.更多还原