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目的:探讨宫内节育器取出困难的原因及处理方法。方法:总结2010年1月-2013年12月145例取器困难者的临床资料。结果:145例困难取环者中,143例为绝经妇女(占98.6%),4例常规手术失败后,在宫腔镜下取出,58例绝经时间长(8-18年),阴道、宫颈及子宫萎缩,术前估计取器困难者,经用药后取出,其余均按常规手术顺利取出。结论:1绝经后应尽早取出宫内节育器;2绝经时间长,阴道宫颈子宫萎缩者,用补佳乐及米索促宫颈软化后再取出节育器,避免盲目操作。
Objective: To investigate the causes and treatment of intrauterine device removal difficulties. Methods: From January 2010 to December 2013, 145 cases of patients with difficult to take the clinical data. Results: Out of the 145 cases with difficult circumcision, 143 were menopausal women (98.6%). Four cases were failed hysteroscopy and were removed under hysteroscopy. Fifty-eight cases were menopausal for a long time (ranged from 8 to 18 years) And uterine atrophy, preoperative estimation of those who take difficulties, after taking the medication, the rest were removed by routine surgery. Conclusions: 1 IUD should be removed as soon as possible after menopause; 2 long menopause, vaginal cervical uterine atrophy, with nadrogol and misoprostol cervix softening and then remove the IUD, to avoid blind operation.