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放置宫内节育器是一种避孕效果良好、安全、使用简便、经济、可逆的长效避孕方法。已被我国育龄妇女普遍接受。随着宫内节育器(IUD)的广泛使用,常规取器失败时有发生,盲目钩取可能造成子宫穿孔、脏器损伤、出血、感染等并发症。宫腔镜能直视下观察IUD在宫腔内的形态、部位、嵌顿情况及宫腔内有无病变,并在直视下取出,可避免盲目钩取给受术者带来痛苦。本文作者将54例常规取器失败,经宫腔镜诊断并取出情况报道如下。
IUD insertion is a contraceptive effect is good, safe, easy to use, economical, reversible long-term contraceptive methods. Has been generally accepted by women of childbearing age in our country. With the widespread use of intrauterine devices (IUDs), routine take-off fails from time to time, and blind hook-up may result in complications such as uterine perforation, organ injury, bleeding and infection. Hysteroscopy can be observed under the IUD in the uterine cavity morphology, location, incarceration and intrauterine lesions, and removed under direct vision to avoid the blind hook to bring suffering to the surgeon. In this paper, 54 cases of conventional failed to take the device, diagnosed by hysteroscopy and removed as reported below.