腹腔镜取出盆腹腔内异位节育器23例临床分析

Clinical analysis on removal of ectopic intrauterine device from pelvic cavity and abdominal cavity by laparoscope in 23 cases

目的:探讨宫内节育器(IUD)异位或嵌顿的原因、临床诊断及治疗。方法:回顾分析23例节育器盆腹腔内异位或嵌顿经腹腔镜取出的临床资料及诊治过程。结果:23例患者中13例通过腹腔镜手术顺利取出异位节育器,2例因节育器部分嵌顿/异位至膀胱、同时行膀胱壁切开及修补术,6例联合宫腔镜取出异位节育器,1例在宫腔镜、膀胱镜联合下取出异位节育器,1例因术中未探查到IUD而取器失败。结论:对于IUD盆腹腔内异位或嵌顿患者应准确诊断,及时取出。

To explore the causes, clinical diagnosis, and treatment of displacement or incarceration of intrauterine de vice （IUD） . Methods： The clinical data and the whole course of diagnosis and treatment of 23 cases with displacement or incarceration of IUD in pelvic cavity and abdominal cavity who were treatment with removal of IUD by laparoscopy were analyzed retrospectively. Results： Among 23 cases, removal of ectopic IUD by laparoscopy was completed successfully in 13 cases, 2 cases underwent laparoscopy combined with bladder wall myotomy and repair because of partial IUD into bladder, 6 cases underwent removal of ectopic IUD by laparoscopy combined with hysteroscopy, 1 case underwent removal of ectopic IUD by laparoscopy combined with cystoscope, 1 case failed to remove ectopic IUD because IUD didnt be found during surgery. Conclusion： The patients with displacement or incarceration of IUD in pelvic cavity and abdominal cavity should be diagnosed accurately, and the IUD should be removed timely.