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目的探讨宫腔镜、腹腔镜在治疗宫内节育器(IUD)异位中的作用及效果。方法选取2011年9月至2013年11月IUD异位患者46例,年龄21~62岁,平均年龄35岁。采用宫腔镜和/或腹腔镜操作下取器,观察临床症状、IUD位置、类型,比较异位类型及手术方式和手术结果。结果 46例患者在宫腔镜和/或腹腔镜操作下均取器成功。部分异位34例,其中30例行单纯宫腔镜手术,4例因考虑嵌顿部分>1/2,不能排除有否子宫穿孔,行腹腔镜单操作孔直视下宫腔镜手术。完全异位5例,其中宫腔镜取出1例,宫腹腔镜联合取出1例,腹腔镜下取出3例。子宫外异位7例,全部通过腹腔镜手术取出,所有患者均未出现术后并发症。结论宫腔镜和/或腹腔镜治疗IUD异位是一种微创且安全有效的方法。
Objective To investigate the effect and effect of hysteroscopy and laparoscopy in the treatment of heterotopic IUD. Methods Forty-six patients with ectopic IUD from September 2011 to November 2013 were selected, aged from 21 to 62 years with a mean age of 35 years. The hysteroscopy and / or laparoscopic operation was used to take down the device. The clinical symptoms, the location and type of IUD, the types of ectopic lesions, the surgical methods and the surgical results were observed. Results All the 46 patients were successful in hysteroscopy and / or laparoscopic operation. Partial ectopic 34 cases, of which 30 cases underwent hysteroscopic surgery, 4 cases due to consider the incarcerated part> 1/2, can not rule out whether uterine perforation, laparoscopic single-hole under hysteroscopic surgery. Complete ectopic in 5 cases, including hysteroscopic removal of 1 case, hysteroscopy combined with removal of 1 case, laparoscopic removal of 3 cases. Extrauterine ectopic 7 cases, all removed by laparoscopic surgery, all patients did not appear postoperative complications. Conclusion Hysteroscopy and / or laparoscopic treatment of IUD ectopic is a minimally invasive and safe and effective method.