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本文介绍了应用国产XG-3型宫腔镜对30例放置IUD后无副反应、62例有副反应者的观察,包括:44例月经异常、18例下腹痛、3例带环妊娠和19例哺乳期放IUD前作直视检查和观察。62例IUD副反应者中54例镜检示有异常(87%),其中IUD异常占70.4%,内膜变化占24%,合并宫内器质性病变占5.6%。此外,60例常规取器困难中,46例镜检宫腔内发现IUD或其断片,均经宫腔镜直视下或定位后取出。表明宫腔镜用于处理和研究某些IUD副反应和并发症确有一定价值。
This article describes the application of domestic XG-3 hysteroscopy in 30 cases of IUD without side effects, 62 cases of side effects were observed, including: 44 cases of menstrual abnormalities, 18 cases of lower abdominal pain, 3 cases of ring pregnancy and 19 Cases of lactation put IUD for direct inspection and observation. Of the 62 IUD responders, 54 showed microscopic abnormalities (87%), of which 70.4% had IUD abnormalities, 24% had endometrial changes, and 5.6% had intrauterine organic lesions. In addition, 60 patients with conventional difficulties in taking the device, 46 cases of intrauterine examination revealed IUD or fragment, were under hysteroscopy or after positioning removed. Hysteroscopy shows that some of IUD for the treatment and research side effects and complications do have some value.