门诊宫腔镜联合腹部超声在节育器取出困难的临床分析

• 作 者: 刘晶慧
• 机 构: 长春市妇产医院,
• 出 处: 中国实用医药
• 发表日期: 2017年24期
• 关键词: 节育器取出困难 超声检查 宫腔镜联合 宫腔镜 宫腔内节育器 子宫黏膜下肌瘤 取器 定位分析 宫内节育器 宫腔粘连

目的探讨宫腔镜术中联合腹部超声在节育器取出困难中的应用价值。方法 105例常规节育器取出困难患者,患者均应用腹部超声监测下行宫腔镜检查,对节育器定位分析,再选择相应的方法取出节育器,观察其效果。结果 105例节育器取出困难患者中102例在超声监视下行宫腔镜顺利取出节育器,其中节育器嵌顿80例,环部分残留10例,环断裂5例,环变形5例,环异位2例。结论宫腔镜联合腹部超声能直视检查宫腔内节育器的真实情况及准确位置,选择正确的手术方式,达到取出节育器的目的。

Objective To investigate the value of hysteroscopy combined with abdominal ultrasound in the removal of IUD. Methods 105 cases of conventional IUDs were taken out of difficult patients. The patients underwent abdominal hysteroscopy to monitor the position of the IUD. Then the corresponding methods were selected to remove the IUD, and the effect was observed. Results Among the 105 patients with difficult to remove IUD, 102 patients underwent hysteroscopy under ultrasound monitoring. Among them, 80 were incarcerated by IUD, 10 were residual ring, 5 were ring deformity, 5 were ring deformity, 2 cases. Conclusion Hysteroscopy combined with abdominal ultrasound can check the real situation and accurate location of IUD, select the correct surgical approach to achieve the purpose of removing the IUD.