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目的探讨宫内节育器(IUD)异位的临床表现、诊断、处理及预防。方法回顾分析2008年6月至2010年12月我院收治的17例IUD异位患者的临床资料。结果 17例患者多表现为不同程度的阴道出血、下腹痛及腰酸等症状,诊断方式主要有超声、盆腔X线等,治疗主要有宫腔镜、腹腔镜及联合手术等,预防应注意置环操作轻柔,置环后定期复查,绝经后及时取出等。结论 IUD是一种传统、有效的避孕措施,但应注意积极预防和治疗IUD异位。
Objective To investigate the clinical manifestations, diagnosis, treatment and prevention of intrauterine device (IUD) ectopic. Methods The clinical data of 17 patients with IUD ectopic patients treated in our hospital from June 2008 to December 2010 were retrospectively analyzed. Results Seventeen patients manifested as vaginal bleeding, lower abdominal pain and lumbar acid with different degrees. The main diagnostic methods were ultrasound, pelvic X-ray and so on. Hysteroscopy, laparoscopy and combined surgery were the main methods of treatment. Prevention should pay attention to the ring Gentle operation, regular review after ring setting, promptly remove after menopause and so on. Conclusion IUD is a traditional and effective contraception, but should pay attention to actively prevent and treat IUD ectopic.