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目的:分析基层医院取环失败的原因,探讨基层医院提高取环成功率的方式。方法:详细询问在基层医院取环失败后来我院要求再次取环的患者病史及手术时情况,选择B超介入下宫腔镜检查,观察宫颈管、宫腔及环的情况。再用普通取环方法将环取出。结果:126例患者中,2例环异位达浆膜层;1例宫颈粘连无法分;1例环完全嵌入肌层而无法取出,余122例均一次成功取出,成功率达97%。结论:选择适当的器械,以相应的方法有一部分节育环是可以在基层医院解决的。
OBJECTIVE: To analyze the reasons for the failure of primary hospitals and to explore the ways to improve the success rate of fetuses in primary hospitals. Methods: Inquired in detail about the history and operation of the patient who requested to take the ring again when the hospital failed to take the ring in the primary hospital. The condition of the cervical canal, uterine cavity and the ring was observed under the Hysteroscopy. Then use the normal ring method to remove the ring. Results: Of the 126 patients, 2 cases showed abnormal ectasia, serosal adhesion in 1 case, incomplete insertion of muscular layer in 1 case, and removal of 122 cases in one case. The success rate was 97%. CONCLUSIONS: Choosing the right device, with a corresponding portion of the IUD, can be solved in the primary hospital.