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近年来采用宫腔镜检查宫内节育器(IUD)引起的出血已有报道。本组对57例安置IUD后出血的患者,作了宫腔镜检查,其中26例在宫腔镜检查同时作了子宫内膜的组织学检查,现报告如下。资料与方法方法:本组采用国产XG—3型纤维光学宫腔镜,以生理盐水为膨宫液,采用滴注式加压膨宫法,术前未用麻醉,检查前行阴道窥视及双合诊检查。一般资料:本组年龄最小25岁,最大55岁.57例中第一胎29例,第二胎17例,第三胎6例,第四、五胎各2例,六胎1例。安置IUD后至发生子宫出血的时间,最短40天,最长为20年,其中57.9％为安置IUD4年以内(见附表)。安置IUD引起出血的特续时间,最短为12天,
In recent years, the use of hysteroscopy IUD bleeding has been reported. The group of 57 patients with bleeding after placement of IUD, made a hysteroscopy, 26 cases of hysteroscopy at the same time made a histological examination of the endometrium, are as follows. Materials and Methods Methods: This group of domestic XG-3 fiber optics hysteroscopy, saline as uterine fluid, the use of drip-type pressurized uterine approach, without anesthesia before surgery, check the line before vaginal peek and double Joint examination. General information: This group is the youngest 25 years old, maximum 55 years old.The first case of 57 cases of 29 cases, 17 cases of second, 6 cases of the third, fourth and fifth of the two cases, one case of six infants. The time from the placement of the IUD to the onset of uterine bleeding is a minimum of 40 days up to a maximum of 20 years, of which 57.9% are for IUD placement for 4 years (see attached table). Special placement of IUD caused bleeding time, the shortest of 12 days,