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目的:通过对18例宫内节育器(IUD)异位发生原因、诊治结果以及相关问题进行总结和分析,探讨更有效、更实际的干预措施。方法:选取2000年1月-2013年12月本院收治的18例23枚IUD异位发生原因、异位的分布、种类、施术者情况、诊治经过以及由此引起的相关社会问题等因素进行分析。结果:IUD异位部位多发生于盆腹腔,少见于异位到膀胱内。本组异位18例23枚,均手术取出,疗效很好。结论:由于难度较大,医疗纠纷多,负面影响大,后期协调处理困难。防治重点在基层,主动定期随访,加强人员培训,提高对IUD异位的认识,加强计生高危手术的监管,最大限度地减少IUD异位并发症发生。
Objective: To summarize and analyze the causes of ectopic etiology, diagnosis and treatment of 18 cases of intrauterine devices (IUDs) and related problems, and to explore more effective and practical interventions. Methods: From January 2000 to December 2013 in our hospital 18 cases of 23 cases of IUD ectopic etiology, ectopic distribution, type, the circumstances of the operator, diagnosis and treatment, and the resulting social problems and other factors Analyze. Results: IUD ectopic sites occurred in the abdominal cavity, rare in the ectopic to the bladder. Eighteen patients in this group of 23 cases were removed surgically, the effect is very good. Conclusion: Because of the difficulty, the medical disputes are many, the negative impact is big, and the coordination is difficult to deal with later. Prevention and control priorities at the grassroots level, take the initiative to follow-up on a regular basis, strengthen personnel training, improve awareness of IUD ectopic, and strengthen supervision of family planning high-risk surgery to minimize the occurrence of IUD ectopic complications.