电视宫腔镜下套线法取出“困难IUD”42例分析

Analysis of hysteroscopy combined with string-harnessing in 42 cases of the failed IUD removal

目的:探讨宫腔镜在取出"困难IUD"中的应用及临床疗效。方法:选择取环失败病例42例,采用宫腔镜检查明确IUD在宫内情况,选择合适部位套以丝线作为着力点辅助取环;与同时期传统方法取环50例作比较。结果:42例患者中4 l例取环成功,一次手术成功率为97.61%。平均手术时间4′21,″术中同时检出其他异常25例。对照组50例中取器成功34例,16例失败,一次手术成功率为68.00%(P<0.01),平均手术时间9′18″(P<0.01)。结论:宫腔镜下套线法取出"困难IUD"操作简单,手术直观,手术时间短,能有效避免盲目取环术的副损伤。

Objective： To investigate the effect of hysteroscopy combined with string- harnessing in treatment of failed remoral of intrauterine contraceptive device （IUD） . Methods： The treatment group （42 cases） with failure of IUD removal underwent hysteroscopy in our hospital and the in -uterus conditions of the ICUs were identified; the ICUs were removed by harnessing a string at the proper point of them as the center of pressure, compared with the control group （50 cases） of the 1CU removal with the traditional method. Results： The achievement ratio （97. 61%, mean operation time： 4 minutes 21 seconds） in the treatment group was significantly higher than that （68. 00% , mean operation time： 9 minutes 18 seconds） in the control group （P 〈 0.01 ） . Conclusion： The hysteroscopy combined with string - harnessing is brief and direct - viewing and has no secondary injuries, resulting in short operation time, hence its worthiness of popularization in removing IUDs in failed eases.