| 上海市宫内节育器取出术现状的调查分析 |
| |
| 引用本文： | 康建中,肖志琴,黄咏梅,刘晓瑷. 上海市宫内节育器取出术现状的调查分析[J]. 实用妇产科杂志, 2011, 27(2) |
| |
| 作者姓名： | 康建中 肖志琴 黄咏梅 刘晓瑷 |
| |
| 作者单位： | 上海交通大学医学院国际和平妇幼保健院,上海市计划生育技术指导所,上海200030 |
| |
| 摘 要： | 目的:调查上海市宫内节育器(IUD)取出的现状和方法,探讨手术并发症的原因及安全取出IUD的措施。方法:对上海市87所医院2001～2007年期间所有IUD取出术病例进行回顾性调查,内容包括手术方式、手术地点及是否施行静脉麻醉手术等。对严重并发症进行个案调查。结果:2001～2007年常规IUD取出术数量稳步上升,维持在每年60000～100000例。二级综合医院、三级综合医院和妇幼保健院手术分布为37.61%、16.41%和45.98%。与2001年比较,2007年宫腔镜IUD取出术住院数量上升158.47%,静脉麻醉宫腔镜IUD取出手术上升124.47%。常规IUD取出术和宫腔镜IUD取出术中,严重并发症的发生率各为2.99/10万和36.00/10万。常规IUD取出术中17例严重并发症为脏器损伤14例,感染引起再次开腹手术3例。宫腔镜IUD取出术的严重手术并发症为死亡病例4例。结论:随着近年来IUD取出术逐年上升,宫腔镜手术有助于困难IUD的取出。建立宫腔镜操作规范,包括配置、抢救设备和有资质的医护人员是非常必要的。
|
| 关 键 词： | 宫内节育器 宫腔镜 静脉麻醉 并发症 死亡 |
Situation on the Removal of Intrauterine Device in Shanghai |
| |
| KANG Jianzhong,XIAO Zhiqin,HUANG Yongmei,et al. Situation on the Removal of Intrauterine Device in Shanghai[J]. Journal of Practical Obstetrics and Gynecology, 2011, 27(2) |
| |
| Authors: | KANG Jianzhong XIAO Zhiqin HUANG Yongmei et al |
| |
| Affiliation: | KANG Jianzhong,XIAO Zhiqin,HUANG Yongmei,et al(Shanghai Institute of Family Planning Technical Instruction,Shanghai 200030,China) |
| |
| Abstract: | Objective:To explore the possible causes of complications that happened at removal of intrauterine devices (IUD) as well as to find measures to improve the safety of the surgery based on analysis of the current situation and methods of IUD removal in Shanghai. Methods:A retrospective survey was conducted on all IUD removal cases at 87 hospitals in Shanghai from January 2001 to December 2007,including the method and place of IUD removal and with or without intravenous anaesthesia. Further investigations were... |
| |
| Keywords: | Intrauterine device Hysteroscope Intravenous anaesthesia Complication Death |
| 本文献已被 CNKI 万方数据 等数据库收录！ |
|
