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目的 探讨宫腔镜、腹腔镜下迷路宫内节育器取出术的方法。方法 对 4 4例子宫内迷路IUD患者应用宫腔镜取出 ,术前宫颈预处理 ,术时根据类型不同采用不同的手术方法 ,部分患者为预防子宫穿孔行B超或腹腔镜监护。对 5例异位于子宫外IUD患者应用腹腔镜取出。结果 4 9例迷路IUD均一次取器成功 ,无并发症发生。结论 对于迷路节育环的处理方案是不定型的。对于子宫内迷路IUD术前须充分扩张子宫颈 ,手术时视情况采用不同的设备和方法。腹腔镜处理异位于子宫外的IUD优于剖腹手术
Objective To explore the method of hysteroscopy and laparoscopic removal of intrauterine device. Methods Forty-four cases of IUD with intrauterine myocarrhea were treated with hysteroscopy and preoperative cervical pretreatment. Different surgical methods were used according to the type of operation. Some patients were monitored by ultrasonography or laparoscopy for prevention of uterine perforation. 5 cases of ectopic uterus IUD patients with laparoscopic removal. Results 49 cases of lost IUD were successfully taken one time, no complications. Conclusion The treatment of lost birth control ring is unspecified. For uterine lost IUD before surgery to fully expand the cervix, depending on the circumstances, the use of different equipment and methods. Laparoscopic treatment of heterotopic IUD outside the uterus is superior to laparotomy