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本文介绍35例常规取节育器困难或失败的病例,经国产XG-3型宫腔镜检查定位,35例中有27例病人的宫内节育器或其碎片在宫腔内(其中1例不锈钢节育器恰套在粘膜下肌瘤蒂部、1例的节育器完全碎裂、1例断裂的T 形节育器横臂断段大部嵌入宫壁),8例未见宫内节育器(其中4例剖腹取出,另4例估计脱落而未作处理)。27例中,19例在宫腔镜直视下用蟹爪钳取出;2例用微钩取出;6例用长弯血管钳取出,效果均良好。由此认为应用宫腔镜诊断和处理断裂或嵌顿的难以取出的宫内节育器是极好的办法。
This article describes the 35 cases of conventional IUD difficult or failed cases, made by the domestic XG-3 hysteroscopy positioning, 35 cases in 27 patients with intrauterine device or fragments in the uterine cavity (including 1 case of stainless steel IUDs just set in the pedicle submucosal fibroids, 1 case of IUDs completely broken, 1 case of broken T-shaped IUD most of the transverse segments embedded in the uterine wall), 8 cases did not see the IUD 4 cases of caesarean section removed, the other 4 cases estimated off without treatment). In 27 cases, 19 cases were removed with crab claw forceps under hysteroscopy, 2 cases were removed with micro-hooks and 6 cases were removed with long-angled vascular forceps. The results were good. Therefore, the use of hysteroscopy diagnosis and treatment of broken or incarcerated difficult to remove the IUD is an excellent way.