| 宫腔镜联合超声在宫内节育器取出失败中的应用价值 |
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| 引用本文： | 付熙,杜蓉,丁岩.宫腔镜联合超声在宫内节育器取出失败中的应用价值[J].新疆医科大学学报,2011,34(5):540-542. |
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| 作者姓名： | 付熙 杜蓉 丁岩 |
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| 作者单位： | 新疆医科大学第一附属医院妇科,新疆,乌鲁木齐,830011 |
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| 摘 要： | 目的分析B超联合宫腔镜在宫内节育器取出失败中的应用价值。方法常规宫内节育器取出困难患者,先在B超监视下行宫腔镜检查,对IUD准确定位,分析IUD与子宫肌层关系后,在超声监护下经阴道取器或选择经腹或腹腔镜途径取器。结果 13例子宫正常,IUD位置正常;29例IUD部分或全部异位;8例子宫内膜病变合并IUD异位;1例子宫极度后倾合并子宫陈旧性穿孔。术前B超25例判断正确,9例IUD断端与子宫内膜及浅肌层关系判断错误,3例子宫内膜息肉未发现,1例子宫极度后倾曲合并子宫陈旧性穿孔未提示。44例镜下取器成功,5例腹腔镜取出,2例IUD开腹取出。结论 B超在判断IUD断端与子宫内膜及浅肌层关系以及子宫腔病变时会有一定误差;B超联合宫腔镜检查不仅可以明确IUD定位、定形,选择恰当的取器方法,而且可提高取器的安全性和成功率。
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| 关 键 词： | 宫腔镜 宫内节育器 超声检查 |
The clinical value of hysteroscopy combined with sonogrophy in removing IUD in difficult cases |
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| FU Xi,DU Rong,DING Yan.The clinical value of hysteroscopy combined with sonogrophy in removing IUD in difficult cases[J].Journal of Xinjiang Medical University,2011,34(5):540-542. |
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| Authors: | FU Xi DU Rong DING Yan |
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| Institution: | FU Xi,DU Rong,DING Yan(Department of Gynecology,First Affiliated Hospital,Xinjiang Medical University,Urumqi 830011,China) |
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| Abstract: | Objective To evaluate the clinical value of removing IUD by hysteroscopy combined with sonogrophy in difficult cases.Methods After the failure of routine way,the IUD was identified first through B ultrasound only,then the IUD was identified again by hysteroscopy combined with sonogrophy.Removing the IUD by vaginal,abdomen or laparoscope after analyze the relation of the IUD and uterine muscular layer.Results In the all 51 cases,13 cases were normal;29 cases were ectopic IUDs;8 cases were endometrial disease... |
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| Keywords: | hysteroscopy IUD B ultrasound |
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