1临床资料某女,43岁,因放置宫内节育器10余年,反复不规则阴道流血多次,于2010年10月就诊。患者平素月经周期规律,10/30天,经量正常,无痛经,无血块,2000年4月患者在当地镇医院放置宫内节育器,型号为活性165中号,术后每年妇女查体均显示宫内节育器位置正常。有性生活20年,顺产后18年,近5年于月经间期出现阴道不规则流血,腰酸,阴道分泌物水样,量多,带血,无异味。以往在当地医院及 1 clinical data A woman, 43 years old, due to the placement of IUD for more than 10 years, repeated irregular vaginal bleeding many times, in October 2010 treatment. Patients usually menstrual cycle regularity, 10/30 days, the amount of normal, no dysmenorrhea, no blood clots, April 2000 patients in the local town hospital placement of IUD, model number of active 165 medium, postoperative annual examination of women were Show IUD normal position. Sexual life for 20 years, 18 years after birth, nearly 5 years irregular vaginal bleeding in the menstrual period, backache, vaginal discharge water samples, quantity, blood, no smell. In the past in the local hospital and