摘要
目的：探讨取环钳结合B超在困难取环中的作用。方法：本组共132例，年龄38～69岁。采用的是随机取样法，金属单环95例，塑料单环37例，平均安环17年。取截石位，将B超探头置于耻骨联合上，扩宫至可通过5号扩宫器，在B超监测下，使用取环钳进人宫腔，钳住宫内节育器的游离端取出。结果：131例成功取出，仅1例因完全嵌入肌层未触及金属感而取环失败。2例短暂少量阴道出血，无发热、腹痛及脏器损伤等并发症。结论：取环钳结合B超可有效地应用于困难取环，该方法简便、易学，便于基层医院推广。
Objectives：To explore the effect of IUD-extracting forceps combined with B ultrasound in dif-ficult intracavitary extraction of intrauterine device （IUD）.Methods：132 patients aging between 38 and 69 were selected randomly with metal IUD （95）or plastic IUD （37）and average usage of 17 years.With lithotomy posi-tion,the ultrasound probe was placed on the pubic symphysis;waited until the enlarging womb was large enough to put the IUD-extracting forceps in,vise the free-end of IUD and take it out under the monitoring of B ultrasound. Results：The IUD of 131 patients were successfully taken out while only 1 failed since the IUD had completely em-bedded in muscle layer.Two patients experienced short and a small amount of vaginal bleeding,without complica-tions such as fever,abdominal pain and organ injury.Conclusion：Joint use of IUD-extracting forceps and B ul-trasound can be effectively applied in difficult intracavitary extraction of intrauterine device,and this method is sim-ple,easy,and convenient for basic-level hospital.
出处
《中国性科学》
2014年第6期77-79,共3页
Chinese Journal of Human Sexuality
基金
浙江省人口和计划生育委员会立项课题(2009-34)
关键词
宫内节育器
超声
取环钳
Intrauterine device
Ultrasound
IUD-extracting forceps
