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目的探讨更年期宫内节育器(IUD)取出困难的危险因素及宫腔镜在IUD困难取出术中的价值。方法回顾性分析了永安乡卫生院35例更年期宫内节育器困难取出术患者的临床诊疗资料,统计分析了诱发更年期宫内节育器取出困难的危险因素及宫腔镜在IUD困难取出术中的价值。结果绝经时间较长、宫腔粘连、宫颈粘连、子宫萎缩是诱发IUD取出困难的危险因素,IUD放置时间的增加并不会增加IUD嵌顿、断裂的发生率;33例患者在宫腔镜下成功取出IUD(94.29%),2例患者分别由于生殖道畸形、IUD插入子宫肌层未取出,所有患者均无严重并发症。结论宫腔镜应用于绝经期妇女的IUD困难取出术具有诊断明确、操作简单、成功率高、安全性高等优点,值得临床推广。
Objective To investigate the risk factors of difficult removal of menopausal IUD and the value of hysteroscopy in the treatment of difficult IUD extraction. Methods The clinical diagnosis and treatment data of 35 cases of menopausal intrauterine device difficult to remove in Yongan township hospital were analyzed retrospectively. The risk factors of removing menopause intrauterine device and the hysteroscopy were analyzed retrospectively. value. The results of a long period of menopause, intrauterine adhesions, cervical adhesions, uterine atrophy is a risk factor for IUD extraction difficulties, IUD placement time does not increase the IUD incarceration, the incidence of rupture; 33 patients under hysteroscopy Successful removal of IUD (94.29%), 2 patients were due to genital tract deformity, IUD inserted into the myometrium was not removed, all patients without serious complications. Conclusion Hysteroscopy used in menopausal women with IUD difficult to remove the diagnosis of a clear diagnosis, simple operation, high success rate, high safety, merits clinical promotion.