论文部分内容阅读
节育器(IUD)异位为放置宫内IUD的一种少见的严重并发症,发生率约1‰.我室发现2例IUD外游.例1.任某,27岁,因取环失败出现下腹疼痛2月入院.患者2年前放置IUD,术后经多次X线透视IUD呈棒状金属影.2个月前因早孕在外院施行人工流产术后取环未成功,出现左下腹坠胀,疼痛不适.后又多次取环均未成功而来本院检查,妇科检查未发现异常.X线透视见左盆腔内约5cm的金属条索影.B超检查:在宫腔内未发现IUD回声,在子宫左后方肌层外、浆膜下见一长约4.5cm的金属样强回声光带,伴有声影.B超诊断IUD断裂,外游.经后穹窿切开阴道后壁及盆腔腹膜,取出断裂的IUD.
IUD is a rare and serious complication of intrauterine IUD, the incidence of about 1 ‰. I found 2 cases of IUD travel .Example 1. Renmou, 27 years old, due to failure to take the ring appeared Abdominal pain in February hospitalized patients with IUD placed 2 years ago, after multiple X-ray IUD showed rod-shaped metal shadow .2 months ago because of early pregnancy in the outpatient abortion surgery to take the ring was unsuccessful, the left lower quadrant bulge , Pain and discomfort.After many times to take the ring were unsuccessful and came to our hospital for examination, gynecological examination found no abnormalities.X-ray see the left pelvic about 5cm of the cable shadow.B ultrasound examination: not found in the uterine cavity IUD echo, in the uterus left posterior muscle, the subserosal see a length of about 4.5cm of the metal-like echo of the light band, accompanied by sound shadow. B ultrasound diagnosis of IUD rupture, travel. After posterior fornix incision vaginal wall And pelvic peritoneum, remove the broken IUD.