宫内节育器异位31例临床分析

目的 探讨宫内节育器异位的临床表现、产生原因、诊治方法及预防措施.方法 对本院收治的31例宫内节育器异位患者临床资料进行回顾性分析.结果 多数患者的临床表现不典型,主要与节育器异位位置相关.异位产生原因与置环时机、置环方法以及置环时间长短相关.宫腔镜及腹腔镜是取出异位节育器的主要方法.结论 手术操作规范、避免产褥期,哺乳期置环,围绝经期及时取环可以降低节育器异位风险,宫腔镜或腹腔镜手术可及时诊治节育器异位.

Clinical Analysis of Displaced Intrauterine Contraceptive Device

Objective To explore the clinical manifestation, causes, diagnosis and treatment, precautionary measures of displaced IUD. Methods Thirty-one cases of displaced IUD in our hospital from Feb 2008 to Feb 2011 were analyzed retrospectively. Results Most patients＇ clinical manifestation was atypical, which was related to the displaced location. The factors of the missing IUD included inserting occasion, insertion technique and time length. Hysteroscopy and laparoscopy were the main methods to remove IUD. Conclusion Proper insertion technique, avoidance ofpuerperium, insertion at lactation period and timely removal at perimenopausal period can reduce the risk of ectopic IUD. Hysteroscopy and laparoscopy can timely diagnose and treat the displaced IUD.