B超联合宫腔镜在取出困难的宫内节育器中的应用

Application of hysteroscopy and B ultrasound in removing IUD in difficult cases.

Objective To evaluate the clinical value of removing IUD by hysteroscopy and ultrasound in difficult cases.Methods After the failure of routine way,the IUD was identified first through B ultrasound only,then the IUD was identified again by the combination of hysteroscopy and B ultrasound.If the IUD was whole or part in the uterine cavity,the IUD was removed under direct visual of hysteroscopy.Results In the all 34 cases,Ectopia IUDs were found in 24 cases.The results of ultrasonic examination were correct in 26 cases.The IUDs in 34 cases were successfully removed under the guide of hysteroscopy and B ultrasound.Conclusion The main reasons for failure cases were cervical stenosis and ectopia IUD.The combination of hysterocopy and B ultrasound can help us to define the precise location of the IUD and to choose a proper project to remove the IUD.

Objective To evaluate the clinical value of removing IUD by hysteroscopy and ultrasound in diffiult cases. Methods After the failure of routine way, the IUD was identified first through B ultrasound only, then the IUD was identified again by the combination of hysteroscopy and B ultrasound. If the IUD was whole or part in the uterine cavity, the IUD was removed under direct visual of hysterescopy. Results In the all 34 eases, Ectopia IUDs were found in 24 cases. The results of ultrasonic examination were correct in 26 cases. The IUDs in 34 cases were successfully removed under the guide of hysterescopy and B ultrasound. Conclusion The main masons for failure cases were cervical stenosis and ectopia IUD. The combination of hysterocopy and B ultrasound can help us to define the precise location of the IUD and to choose a proper project to remove the IUD.