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目的:探讨在经腹B超监视下对绝经后妇女宫内节育器(IUD)取出的临床价值。方法:回顾性分析经腹B超监视下行IUD取出术的65例绝经妇女的临床资料(B超组)进行,并与前期无B超监视下行IUD取出术的62例绝经妇女的临床资料(非B超组)进行对比分析。所有患者手术方法相同,并均在术前2h阴道后穹隆放置米索前列醇400μg。结果:B超组IUD取出成功率高,65例患者中,64例完全取出,占98.5%,而非B组的62例患者中,只有55例取出,占88.7%,断裂残留7例(11.3%);且B超组手术操作时间较短(15.3±9.5vs20.2±8.6),术中、术后并发症较少,与非B超组比较有明显的优越性。结论:利用经腹B超监视下行绝经后妇女IUD取出术是一种较为直观、安全、准确、无创的好方法,能提高IUD取出的成功率,缩短手术操作时间,减少术中和术后并发症,可作为基层临床对绝经后妇女IUD取出的常规手术方法,值得推广应用。
Objective: To investigate the clinical value of intrauterine device (IUD) removal in postmenopausal women undergoing transabdominal ultrasonography. Methods: A retrospective analysis was performed on the clinical data of 65 postmenopausal women who underwent IUD removal by transabdominal ultrasonography (B-mode ultrasound). The clinical data of 62 postmenopausal women with non-B-monitoring IUD removal B super group) for comparative analysis. All patients had the same surgical procedure and received 400 μg of misoprostol in the vaginal vault 2 h before surgery. Results: The successful rate of IUD removal was high in B group, 64 of 65 patients were completely removed, accounting for 98.5%. Out of 62 patients without B group, only 55 cases were removed, accounting for 88.7% %). The operation time of B ultrasound group was shorter (15.3 ± 9.5 vs20.2 ± 8.6). There were less intraoperative and postoperative complications. Compared with non-B ultrasound group, there was obvious superiority. Conclusion: It is a more intuitive, safe, accurate and noninvasive method to monitor the postoperative menopause of IUD by transabdominal ultrasonography, which can improve the success rate of IUD extraction, shorten the operation time and reduce the intraoperative and postoperative complications It can be used as a routine surgical method for the removal of IUD in primary postmenopausal women, which is worth popularizing and applying.