论文部分内容阅读
目的探讨宫内节育器(intrauterine contraceptive device,IUD)异位的原因。方法对1999年5月至2009年3月中江县计划生育服务站收治的IUD异位于盆腔的10例患者进行回顾性分析。结果10例中有1例异位于膀胱,2例异位嵌入结肠,7例盆腔内有粘连。结论10例异位原因包括放置IUD时手术者操作不熟练、术前未认真检查子宫位置、术中操作粗暴、术后未坚持随访、出现腹痛等异常情况时未及时发现并及时处理等。应加强基层医疗卫生人员和计划生育工作者的技术培训工作,加强责任心,避免误诊误治造成严重并发症,保障妇女身心健康。
Objective To investigate the etiology of intrauterine contraceptive device (IUD). Methods A retrospective analysis was performed on 10 patients with IUD different from the pelvic cavity admitted to the Family Planning Service Station of Zhongjiang County from May 1999 to March 2009. Results In 10 cases, 1 case was located in the bladder, 2 cases were ectopic embedded in the colon, and 7 cases had pelvic adhesions. Conclusions 10 cases of ectopic causes include improper operation of the surgeon during placement of the IUD, undue examination of the uterine position before operation, rude operation during the operation, failure to follow up after operation, abnormalities such as abdominal pain, and timely treatment. The technical training of grassroots medical and health personnel and family planning workers should be strengthened to enhance the sense of responsibility, avoid misdiagnosis and mistreatment, cause serious complications and ensure women’s physical and mental health.