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目的探讨宫腔镜联合超声监视在宫内节育器(IUD)取出困难时的作用。方法对103例取器困难者行超声和宫腔镜联合检查,对IUD准确定位,在超声监护下经阴道取出IUD或用宫腔镜异物钳取器。结果 103例取器困难者有100例在宫腔镜联合超声经阴道取器成功,3例经宫腔镜、腹腔镜联合手术取出。结论宫腔镜联合超声能直视宫腔内IUD的情况,正确选择取器途径和方法,提高取器的安全性和成功率,宫腔镜联合超声是取器困难时有效的方法。
Objective To investigate the role of hysteroscopy combined with ultrasound in the removal of intrauterine device (IUD). Methods 103 cases of patients with difficulty taking the line ultrasound and hysteroscopy joint examination of the IUD accurate positioning of the transvaginal ultrasound IUD or IUD removed hysteroscopic foreign body clamp. Results One hundred and three cases of esophageal dysplasia were successfully treated with hysteroscopy combined with transvaginal sonography. Three cases were removed by hysteroscopy and laparoscopy. Conclusions Hysteroscopy combined with ultrasound can directly observe intrauterine IUD, select the correct way and method to improve the safety and success rate of the extractor. Hysteroscopy combined with ultrasound is an effective method to take the device difficult.