摘要
为探讨宫腔镜处理难以取出的宫内节育器的安全性和有效性 ,以及术中B超和 (或 )腹腔镜监护的必要性 ,回顾性分析 1 998年 1月至 2 0 0 3年 6月在外院取器失败而转入我中心诊治的 5 5例患者的临床资料。全部患者手术均行B超监护 ,有 4例术中同时腹腔镜监护。结果 :宫腔镜下取出 5 3例 ,1例异位至腹腔者在腹腔镜下取出 ,另 1例术前B超发现双侧卵巢囊实性肿物改行全子宫和双附件切除术 ,有 2例合并宫腔粘连者术中发生子宫穿孔。提示 :宫腔镜处理难以取出的宫内节育器是安全和有效的 ,术中B超和 (或 )腹腔镜监护是必须的。
The aim was to evaluate the safety and efficacy of difficult removal IUD by hysteroscopy and the necessary of B-ultrasound and/or laparoscopic monitoring. Altogether 55 cases transferred from other hospitals because of failing to remove IUD were analysised from Jan 1998 to June 2003. All cases operation were monitored by B-ultrasound, 4 of whom combined laparoscopic monitoring. 53 cases were removed by hysteroscopy, 1 IUD penetrated into pelvic cavity was removed by laparoscopy, 1 case selected trans-abdominal hysterectomy and bilateral salpingo-oophorectomy because of bilateral ovary solid cyst, 2 perforation occurred because of intrauterine adhesion. Difficult removal IUD by hysteroscopy is a safe and effective technique and it is necessary to combine with monitoring of B-ultrasound and laparoscopy.
出处
《首都医科大学学报》
CAS
2004年第4期525-527,共3页
Journal of Capital Medical University
