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目的分析宫内节育器异位的原因和处理方法,以供临床参考。方法以2008年8月～2010年7月在我院接受治疗的宫内节育器异位患者49例为研究对象,对其临床资料进行回顾性分析,探讨宫内节育器异位的发生原因和临床诊疗方法。结果宫内节育器异位的发生与放置宫内节育器操作不当、放置时间过长、宫内节育器过大、反复流产、绝经期未及时取出等因素有关。经B超、X线片等辅助检查可明确诊断。采用宫腔镜取出30例、腹腔镜取出15例、剖腹取出4例。所有患者均成功取出宫内节育器,临床症状消失。结论宫内节育器异位可造成盆腔、腹腔脏器损伤,应提高宫内节育器放置的技术水平,术后定期检查,以便及早发现问题,并作出相应处理。
Objective To analyze the causes and treatment of ectopic IUD for clinical reference. Methods 49 patients with ectopic IUD treated in our hospital from August 2008 to July 2010 were studied retrospectively to analyze the causes of ectopic IUD Clinical diagnosis and treatment methods. Results The incidence of intrauterine device ectopic and placement of IUD improper operation, placing too long, IUD too large, recurrent miscarriage, menopause not removed and other factors. The B-, X-ray and other auxiliary examination can confirm the diagnosis. 30 cases were removed by hysteroscopy, 15 cases by laparoscopy and 4 cases by caesarean section. All patients were successfully removed IUD, the clinical symptoms disappeared. Conclusions Ectopic IUD can cause pelvic and abdominal viscera damage. The technique of IUD placement should be improved and be regularly inspected to find the problems as soon as possible and deal with them accordingly.