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目的:评价纤维宫腔镜在迷路宫内节育器诊断和治疗中的重要性。方法:应用Olympus HYF-1T纤维宫腔镜对因外院取器失败而就诊的48例妇女进行探查和治疗。结果:IUD嵌顿于宫角部8例,嵌顿于其它部位宫壁12例,断裂7例,残留12例,伴发宫腔粘连8例,宫颈管粘连6例,子宫肌瘤4例,子宫纵隔2例,子宫极度后屈1例,无明显原因3例,全部病例均取出宫内节育器,无并发症发生,效果满意。结论:由于纤维宫腔镜管径小,顺应性强,损伤小,同时视角多方位,探查及操作简便、安全、有效,有利于提高迷路IUD取出的成功率,具有较高的临床应用价值。
Objective: To evaluate the importance of fiber hysteroscopy in the diagnosis and treatment of lost IUD. Methods: Forty-eight women who failed to receive extra-hospital equipment were investigated with Olympus HYF-1T hysteroscopy. Results: IUD incarcerated in 8 cases of palace corner, incarcerated in other parts of the palace wall in 12 cases, fracture in 7 cases, residual in 12 cases, associated with intrauterine adhesions in 8 cases, cervical canal adhesions in 6 cases, uterine fibroids in 4 cases, 2 cases of uterine mediastinum, uterine extreme flexion in 1 case, no obvious cause in 3 cases, all cases were removed IUD, no complications, with satisfactory results. Conclusion: Due to its small diameter, good compliance and less damage, the hysteroscopy of fiber is simple, safe and effective in exploration and operation, which is beneficial to improve the success rate of lost IUD extraction and has high clinical value.