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目的:探讨节育器异位(横位、倒位)对育龄妇女的影响,完善超声对节育器异位的监测。方法:应用阴道超声监测节育器位置,对352例节育器横位、倒位妇女的症状进行统计分析。结果:出现横位、倒位的节育环类型有γ环、元宫环、宫腔形环、T形环、安舒环5种,以元宫环最多见,放置时间最长的为γ环。节育环横位、倒位可引起经量增多、经期延长、经血淋漓不净或时有出血、下腹痛、腰痛或腰酸、血性白带、月经不调、痛经等,其中元宫环引起不适症状比例最高。结论:节育器的横位、倒位具有临床意义,应注意此种异位的存在。
Objective: To investigate the effect of ectopic (horizontal and inverted) IUDs on women of childbearing age and to improve the monitoring of ectopic ultrasound. Methods: The location of IUDs was monitored by vaginal ultrasound, and the symptoms of 352 IUDs and inverted women were analyzed statistically. Results: there are horizontal, inverted contraceptive ring type γ ring, uterine ring, uterine ring, T-ring, Anshu ring 5, the most common yuan palace ring, the longest place for the γ ring . Irterbital transverse, inversions can cause increased volume, menstrual prolongation, the blood dripping net or sometimes bleeding, lower abdominal pain, back pain or backache, bloody vaginal discharge, irregular menstruation, dysmenorrhea, etc., which caused the yuan Palace ring symptoms of discomfort highest. Conclusion: The horizontal and inverted IUDs have clinical significance, and should pay attention to the existence of such ectopic.