摘要
目的 探讨宫腔镜腹腔镜在宫内节育器 (IUD)并发症中的应用价值。 方法 回顾性分析1986 1～ 2 0 0 1 12我院收治的由外院转来的反复取环失败 1次～ 12次的IUD并发症 5 5例 ,应用宫腔镜腹腔镜诊断处理。 结果 5 5例全部成功取了异常或异位IUD ,其中 4 5例变形、断裂、嵌顿、残留在宫腔的IUD在宫腔镜下手术取出 ;1例断裂残留嵌顿于子宫肌层的金属IUD中转开腹在X线透视指示下取出 ;9例异位盆腔腹腔的IUD在腹腔镜下取出 ,无手术并发症发生。 结论 宫腔镜腹腔镜诊断处理IUD并发症具有诊断明确 ,手术成功率高 ,创伤小的优点。对有宫腔取环术失败史、宫腔占位病变、盆腔摄片与妇科B超揭示环形与位置异常及绝经后子宫萎缩者 ,应常规在宫腔镜下取环。IUD异位盆腔腹腔者应选择腹腔镜取环。
Objective To study the value of hysteroscopy and laparoscopy in the diagnosis and treatment of the complication of intrauterine device (IUD). Methods 55 patients with IUD complications who had previous (1～12) times of unsuccessful operations were performed by hysteroscopy and laparoscopy. The results were retrospectively analyzed. Results 45 abnormal IUD of deformed or broken or remained in uterus were successfully taken out under hysteroscope, and 1 case converted into open operation. 9 ectopic IUD in abdominal and pelvic cavity were successfully taken out under laparoscope. No operative complication occurred. Conclusions Hysteroscopic and laparoscopic operations have the advantages of clear diagnosis, higher successful rate and minimal invasion for the diagnosis and treatment of IUD complications. Abnormal IUD and ectopic IUD out of uterine cavity had better choose hysteroscopic and laparoscopic operations.
出处
《中国微创外科杂志》
CSCD
2002年第z1期66-68,共3页
Chinese Journal of Minimally Invasive Surgery
