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正常情况下,取环是一项比较容易的计划生育基本手术,但在某些生理或病理情况下,使宫体或宫颈发生退行改变或异常,导致取环的难度加大。我们从1996年12月至1997年12月,顺利完成21例难取性节育环取环手术,现将手术体会介绍如下: 1 临床资料 21例难取性节育环患者均为绝经期妇女,年龄44～58岁,绝经时间1～6年。患者体内节育环“T”形环2例,“O”型环19例,放置时间5～26年。难取的原因分别为:阴道萎缩狭窄,宫颈不能暴露5例;宫颈萎缩展平,前后弯隆消失,仅见一小园孔4例;宫颈口紧闭,探针难以进入宫腔7例;基层医疗单位取环发生断裂转诊5例。
Under normal circumstances, taking the ring is a relatively easy basic operation of family planning, but in some physiological or pathological conditions, the palace or cervical degeneration or abnormal degeneration, resulting in increased difficulty to take the ring. We from December 1996 to December 1997, the successful completion of 21 cases of intraoperative take-off ring of ophthalmology, now the surgical experience are described below: 1 Clinical data 21 cases of patients with intrauterine incompetent ring are menopausal women, age 44 to 58 years old, menopause time of 1 to 6 years. In patients with birth control ring “T” ring in 2 cases, “O” ring in 19 cases, place for 5 to 26 years. Difficult to get the reasons were: vaginal atrophy stenosis, the cervix can not be exposed in 5 cases; cervical atrophy flattened before and after the disappearance of auricle, only a small garden hole in 4 cases; cervix closed, probe difficult to enter the uterine cavity in 7 cases; Medical units take the ring fracture referral in 5 cases.