【摘要】目的 探讨宫腔镜应用于绝经后妇女宫内节育器(IUD)取出困难中的效果及安全性。 方法 对73例绝经后妇女IUD取出困难的病例行宫腔镜检查,并取出IUD,必要时行B超和(或)腹腔镜监护。 结果 73例病例中宫腔镜下成功取出IUD72例(98.6 3%),1例改行腹腔镜取出,无子宫大量出血及子宫穿孔等并发症,术中生命体征平稳。73例病例中,IUD位置正常25例,IUD部分嵌顿19例,IUD断裂 11 例,IUD异位于子宫浅肌层5 例,IUD部分残留 9例,IUD扭曲变形3例,1例异位于腹腔。 结论 宫腔镜用于处理绝经后妇女IUD取出困难是安全有效的,必要时应辅以B超和(或)腹腔镜监护。

    【关键词】宫腔镜 绝经后妇女宫内节育器 临床应用

    中国分类号:R713.9文献标识号:A 文章编号:1005-0515(2010)10-026-02

    【Abstract】 Objective To explore the clinical effectiveness and safety of the hysteroscopy used in postmenopausal women with intrauterine device (IUD) removal difficult. Methods 73 cases of postmenopausal women with IUD removed difficult were collected and checked by hysteroscopy and removed the IUD. Results 72 cases were successful removed IUD by the hysteroscopy in the 73 cases (98.6 3%) and 1 case diverted to remove the IUD by laparoscopic. There was no complication such as heavy bleeding of uterine and uterine perforation. ConclusionHysteroscopy for the treatment of postmenopausal women with IUD removed difficulty is safe and effective. ......