宫腔镜应用于常规取环失败病例120例分析

目的 总结宫腔镜在常规取环失败病例中的应用。方法 1994年至2003年对120例常规取环失败的病例行宫腔镜检查，平均年龄43岁，其中51例已绝经。结果 IUD位置正常30例，IUD部分嵌顿37例，断裂、残留共35例，扭曲变形5例，环下移10例，环异位3例。取环失败主要原因是节育环部分嵌顿、断裂及残留，占55．8％。结论 宫腔镜能直接检视宫腔内环的真实情况，结合宫腔镜异物钳或食道异物钳，达到治疗的目的，成功率高达97．5％。

Analysis of 120 with hysteroscopy in the management of difficult-to-removal IUDs

To investigate the application of hysteroscopy in the management of difficult-to-removal IUDs. Hysteroscopy examination was performed to 120 patients with IUDs which were failed to remove with routine methods. The mean age of patients were 43, among them 51 were menopause. 30 cases were with normal IUDs, 37 cases were embedded into the uterine wall, 35 cases were retained broken piece, 5 cases were twisty deformed, 10 cases were descending and 3 cases were outside the uterus. The main reason of difficult-to removal is IUD embedded into the uterine wall, broken piece and retained, the percentage is 55.8%. Conclusions] Hysteroscopy can detect the true situation of IUDs in uterine cavity, combined with hysteroscopy foreign forceps and esophagus forceps, we can successfully remove IUDs, the successful rate was 97.5%.