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目的:探讨宫腔镜联合超声检查在宫内节育器(IUD)取出困难时的作用。方法:2003-01/2008-01郑州市妇幼保健院对130例取器困难者,先采用超声和宫腔镜联合检查,对IUD准确定位后,在超声监护下经阴道取器或选择经腹途径取器。结果:宫腔镜和超声检查发现IUD位置正常38例,部分嵌顿48例,断线残留30例,γ形IUD扭曲变形6例,异位8例。130例中,122例经阴道取器成功,8例经剖腹或腹腔镜手术取器。结论:宫腔镜联合超声检查,不仅可以精确地对IUD进行定位、定形,正确选择取器途径和方法,而且可提高取器的安全性和成功率。
Objective: To explore the role of hysteroscopy combined with ultrasonography in the removal of intrauterine device (IUD). METHODS: From January 2003 to January 2008, Zhengzhou Maternal and Child Health Hospital collected 130 cases of patients with difficulty in taking the device. First, ultrasound and hysteroscopy were used to examine the location of the IUD. After transvaginal ultrasound or ultrasound Way to take the device. Results: Hysteroscopy and ultrasonography showed that 38 cases were normal in IUD, 48 cases were partial incarceration, 30 cases were broken, 6 were distorted by γ-shaped IUD and 8 cases were ectopic. Of the 130 cases, 122 were successfully transvaginal and 8 were cesarean or laparoscopic. Conclusion: Hysteroscopy combined with ultrasonography can not only locate and shape IUD accurately, but also select the correct way and method of IUD, and improve the safety and success rate of IUD.