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一、病例报告患者28岁,于1987年12月产后6个月(哺乳期)在当地医院放置T型宫内节育器(IUD),术中、术后无腹痛等任何异常反应。但在术后6个月,29个月患者却两次受孕,均行人工流产术,并于1991年3月再次足月分娩。为此,患者先后三次取环均未成功,但几次腹部X线透视均可见IUD且无异位。因患者准备行绝育术,在当地医院取环又失败转入本院。入院后B超检查提示:宫腔部位见“Y”型IUD,准备再次行取环术。术前妇科双合诊检查:宫颈光滑未见环尾丝,宫体前位正常大,两侧附件无特殊,后穹窿可触及IUD。考虑IUD于宫外异位,即行剖腹探查术。术中见子宫正常大小,未见穿孔痕迹,见IUD异
First, the case report of patients 28 years old, in December 1987 postpartum 6 months (lactation) placed in the local hospital T-type IUD, intraoperative and postoperative no abdominal pain and any other abnormal reactions. However, at 6 months and 29 months after surgery, the patients underwent pregnancy twice. All of them underwent artificial abortion. In March 1991, they gave full term labor. To this end, the patient has failed to take the ring three times in succession, but several abdomen X-ray IUD can be seen and no ectopic. Due to the patient ready for sterilization, the local hospital failed to turn into the hospital. B-check after admission tips: Uterine see “Y ” type IUD, ready to take line again. Preoperative bi-gynecological examination of gynecology: no smooth cervical ring tail, the front of the Palace normal large, no special attachment on both sides of the posterior fornix can reach the IUD. Consider IUD in ectopic ectopic, that is, laparotomy exploration. Intraoperative normal size of the uterus, no signs of perforation, see IUD different