宫内节育器并发症临床分析

Clinical Analysis on Complications of Intrauterine Device

目的探讨宫内节育器(intrauterine device,I UD)并发症的预防、诊断及治疗。方法收集2005年11月至2009年8月在本院诊断为宫内节育器并发症住院治疗的患者200例,对其病历资料进行回顾性分析。结果200例患者中,宫内节育器下移为88例(44.0%),嵌顿为79例(39.5%),断裂残留为18例(9.0%),异位于子宫外为15例(7.5%)。200例患者均未在放置宫内节育器后定期检查。结论育龄妇女置环后应定期随访,及时发现节育器异常情况,及时处理,减少宫内节育器严重并发症发生,警惕宫内节育器合并异位妊娠,重视围绝经期及绝经后妇女的取环问题。

Objective To investigate the prevention, diagnosis and treatment of complications of intrauterine device（IUD）. Methods From November 2005 to August 2009, a total of 200 cases with intrauterine device complications were admitted in the Department of Obstetrics and Gynecology, West China Second University Hospital, Sichuan University, and their clinical data were analyzed retrospectively. Results Among those 200 cases, 88 were downshifting, 76 were intrauterine contraceptive device embedment, 23 were menopause, 15 were breakage, 15 were ectopia out of the uterus, and 10 were ectopic pregnancy. None of them had periodic inspection after insert the intrauterine device. Conclusion Reproductive women with intrauterine device should conduct regular follow up. The abnormal situation should be found and dealt in time.