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我们在门诊取宫内节育器(IUD)手术中发现,70年代前放置的不锈钢IUD妇女仍有部分到绝经后未取出,随着绝经时间的延长出现嵌顿、异位、断裂、感染合并宫腔积脓一系列并发症。我院于1997年4月～1998年5月共行35例绝经后取器,发现宫腔积浓3例,报告如下。 一、典型病例 例1,陈某,64岁。放置IUD28年,闭经16年。近4个月有间歇性阴道流脓性分泌物,伴下腹坠胀,来院要求取器。B超检查揭示IUD变型,位置下移并宫腔积液。妇科检查:外阴、阴道老年性改变,宫颈小而硬,宫体如孕40天大小。探宫腔深9cm.流
We found in the outpatient IUD surgery, 70 years ago placed stainless steel IUD women still have not been removed after menopause, with the extension of menopause, incarceration, ectopic, fracture, infection, merger Palace Cavity empyema a series of complications. Our hospital in April 1997 ~ May 1998 35 cases of postmenopausal joint a total of three cases of intrauterine accumulation, the report is as follows. First, the typical case 1, Chen, 64 years old. Place IUD28 years, amenorrhea for 16 years. Nearly 4 months have intermittent vaginal purulent secretions, accompanied by abdominal bulge, to hospital to take the device. B-ultrasound revealed IUD variant, the location down and uterine effusion. Gynecological examination: vulva, vaginal changes in aging, small and hard cervical, Palace, such as pregnancy 40 days size. Explore deep uterine cavity 9cm. Flow