宫内节育器(IUD)因具有安全、长效、简便、可逆、经济等优点而被广大育龄妇女所采用。目前,全世界应用IUD避孕的妇女人数达1亿多,而中国占8000多万,达育龄妇女采用避孕措施中的40％左右。随着IUD的广泛使用,其并发症也相应增多,IUD嵌入子宫肌层的病例时有发生,常常造成取出困难。如处理不当可致子宫穿孔、脏器损伤、血肿形成等严重并发症。现将我站应用宫腔镜取出嵌顿IUD4例报告如下。 一、临床资料 病例1:31岁,孕1产1,7年前经净后置器,因计划生育二胎取器,常规取器失败(用探针感觉似金属环,但取环钩钩不住环下缘,故未取出)。B超示:宫内“O”形环小部分嵌入子宫底部。宫腔镜下见“O”形环已断裂,呈∩形,两端位于宫颈内口两侧,宫底部小部分环位于子宫壁内,故镜下找到一侧游 IUD is used by the majority of women of childbearing age for their safety, long-term efficacy, simplicity, reversibility and economy. At present, the number of women using IUD contraception in the world reaches more than 100 million, while China accounts for more than 80 million and women of childbearing age use about 40% of contraception. With the widespread use of IUDs, there has been a corresponding increase in complications, with cases of IUDs embedded in the myometrium occurring occasionally, often resulting in difficulty of removal. Such as improper handling can cause uterine perforation, organ damage, hematoma and other serious complications. I now use station hysteroscopy removed IUD incarcerated 4 cases reported as follows. First, the clinical data Case 1: 31 years old, pregnancy 1 1, 7 years ago by the net after the device, due to family planning second child fetus, routine take the machine failed (with the probe feels like a metal ring, but take the ring hook Can not ring the lower edge, it is not removed). B-ultrasound: intrauterine “O” ring embedded in the bottom part of the uterus. Hysteroscopic see “O” -shaped ring has been broken, was ∩ shaped, both ends of the cervix in both sides of the mouth, a small part of the bottom part of the ring is located in the uterine wall, so the mirror to find a side tour