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宫内节育器(IUD)在宫颈上部或宫颈内口完全或部分的穿破子宫前壁后,少数情况下继续向前穿破膀胱,这种少有的并发症通常未能早期诊断。本文着重强调有助于高度怀疑膀胱穿孔的特征,以便找出术前诊断的适当方法。回顾最近10年来的文献,找到7例,加上最近发生的病例进行分析。一、子宫穿孔的类型:子宫完全穿孔者,IUD通常游离于腹腔,或被网膜包围,或嵌在宽韧带,或其他腹膜后的部位,如在膀胱子宫腹膜的下方,
IUD (IUD) continues to pierce the bladder in a few cases after the uterine anterior or posterior wall of the cervix or the cervix is completely or partially penetrated. This rare complication is often not diagnosed early. This article highlights the features that contribute to a high degree of suspicion of bladder perforation in order to find an appropriate method for preoperative diagnosis. Review the literature over the last 10 years, find 7 cases, plus recent cases for analysis. First, the type of uterine perforation: complete perforation of the uterus, IUD usually free from the peritoneal cavity, or surrounded by the omentum, or embedded in the ligament, or other retroperitoneal sites, such as the bladder below the uterus peritoneum,