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目的探讨宫腔镜下依据残留环不同特点应用两种方法取出效果。方法本次共选择20例残留环患者作研究对象,均为安阳市第二人民医院2012年9月至2013年9月收治,分析残留环特点,依据不同病情特点,选择两种个体化方案进行治疗,观察综合临床效果。结果分析20例宫腔镜探查结果,吉妮环1例,普通不锈钢圆环14例,带铜T型IUD 2例,“γ”型IUD3例。其中节育器断裂及部位残留6例,尾丝游走宫腔1例,正常3例,严重变形1例,轻度变形伴移位9例。两种方法均一次成功取出,未见不良并发症。宫腔镜检查宫腔,无活动性出血及残端滞留。结论节育器与宫腔关系可在宫腔镜下直观、清晰、准确显示,对位置进行明确,可避免宫壁在盲目操作下损伤,降低再次取环几率,避免不良事件发生。特别是断裂的IUD等特殊残留物,手术具较高安全性和可行性。
Objective To investigate the effect of hysteroscopy based on the different characteristics of the residual ring using two methods. Methods A total of 20 patients with residual ring were selected as the study subjects. All the patients in Anyang Second People’s Hospital were treated from September 2012 to September 2013. The characteristics of the residual ring were analyzed. Two individualized schemes were selected according to different disease characteristics Treatment, observe the comprehensive clinical effect. Results The results of hysteroscopy in 20 cases were analyzed. One case of Jeanne ring, 14 cases of common stainless steel ring, 2 cases of copper T type IUD and 3 cases of “γ” type IUD were analyzed. In which the IUD break and parts of the remaining 6 cases, the uterine pathological tour in 1 case, normal in 3 cases, severe deformation in 1 case, mild deformation with displacement in 9 cases. Two methods were successfully removed at a time, no adverse complications. Hysteroscopy uterine cavity, no active bleeding and stranded stranded. Conclusion The relationship between IUD and uterine cavity can be displayed directly, clearly and accurately under the hysteroscope. The clear location can avoid the damage of the uterine wall under blind operation, reduce the chance of taking the ring again and avoid the occurrence of adverse events. Especially broken IUD and other special residues, surgery with higher safety and feasibility.