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目的 :探讨 IUD异位的原因及延误治疗而导致严重的并发症。方法 :对 1982～ 1999年收治 IU D异位 11例进行回顾性分析。结果 :11例中 3例于置环术中发现 IUD异位并及时处理 ;另 8例因延误诊治 ,其中 7例造成临床上少见、罕见的严重并发症。结论 :11例中 7例由于放置 IUD术中粗暴操作造成子宫穿孔致 IUD异位 ;4例由于误将 IU D经尿道口置入膀胱造成 IUD异位。结论 :应加强基层计划生育工作者的培训 ,提高医疗质量 ,避免粗暴操作 ,发现异常 ,及时处理。
Objective: To explore the causes of ectopic IUD and delay treatment leading to serious complications. Methods: 11 cases of IU D ectopic patients admitted from 1982 to 1999 were analyzed retrospectively. Results: In 11 cases, 3 cases were diagnosed as IUD ectopic by circumcision and were treated in time. The other 8 cases were diagnosed by delayed diagnosis and treatment, of which 7 cases were clinically rare and rare serious complications. Conclusion: In 11 cases, IUD ectopia was caused by uterine perforation in 7 cases due to rude operation of IUD. In 4 cases, IUD ectopia was caused by incorrect insertion of IU D through the urethra into the bladder. Conclusion: The training of grassroots family planning workers should be strengthened, the quality of medical care should be improved, the violent operation should be avoided, the anomalies should be detected and handled promptly.