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目的:探讨宫内节育器(IUD)异位或嵌顿的原因、临床诊断及治疗。方法:回顾分析23例节育器盆腹腔内异位或嵌顿经腹腔镜取出的临床资料及诊治过程。结果:23例患者中13例通过腹腔镜手术顺利取出异位节育器,2例因节育器部分嵌顿/异位至膀胱、同时行膀胱壁切开及修补术,6例联合宫腔镜取出异位节育器,1例在宫腔镜、膀胱镜联合下取出异位节育器,1例因术中未探查到IUD而取器失败。结论:对于IUD盆腹腔内异位或嵌顿患者应准确诊断,及时取出。
Objective: To investigate the causes, clinical diagnosis and treatment of ectopic or incarcerated IUD. Methods: A retrospective analysis of 23 cases of IUD or intraperitoneal pelvic ectopic laparoscopic removal of clinical data and diagnosis and treatment process. Results: Of the 23 patients, 13 cases were successfully removed by laparoscopic surgery and 2 cases were incarcerated / ectopic to the bladder due to IUD. At the same time, incision and repair of the bladder wall were performed. Six cases were treated with hysteroscopy Ectopic contraceptive device, one case of hysteroscopy, cystoscopy combined with removal of the ectopic contraceptive device, one case failed to detect due to intraoperative IUD and failed. Conclusion: For IUD pelvic ectopic or incarcerated patients should be accurately diagnosed and promptly removed.