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目的探讨宫内节育环部分易位至膀胱合并膀胱结石的病因、诊断和治疗方法,提高该病的临床诊治水平;并提出相应的预防措施。方法报道1例宫内节育环部分易位至膀胱合并结石的临床资料,复习相关文献,总结宫内节育环易位至膀胱及其并发症的诊断和治疗方法。结果本病的诊断主要依赖于B超、IVU,或者CT、MRI等,治疗方法有内窥镜治疗、外科手术和腹腔镜手术等方法。本例患者术前经B超、IVU确诊,经尿道手术完整取出结石及宫内节育环。术后恢复良好,围手术期及随访的3个月期间无并发症。结论本病诊断主要靠B超、IVU,治疗以经尿道手术为主。
Objective To investigate the etiology, diagnosis and treatment of partial intrauterine contraceptive ring translocation to bladder combined with bladder stones to improve the clinical diagnosis and treatment of the disease and to propose corresponding preventive measures. Methods One case of intrauterine contraceptive ring translocation to the clinical data of bladder stones, review the relevant literature, summarize the diagnosis and treatment of intrauterine contraceptive ring translocation to the bladder and its complications. Results The diagnosis of this disease mainly depends on B-ultrasound, IVU, or CT, MRI, etc. The treatment methods include endoscopic treatment, surgery and laparoscopic surgery. In this case, the patient was diagnosed with B-ultrasound and IVU preoperatively, and the stone and IUD were completely removed by transurethral resection. Postoperative recovery was good, no complications during perioperative and follow-up of 3 months. Conclusion The diagnosis of this disease depends mainly on B-ultrasound, IVU, the main treatment of transurethral surgery.