X线与超声对宫内节育器异位的对比观察分析

Comparison analysis of ultrasonic and X-ray diagnoses of ectopic intrauterine device

目的探讨X线和超声探查对宫内置节育器异位的监测优缺点。方法搜集节育器异位妇女66例,分析X线和超声探查对宫内置节育器的形态及异位的检出率。结果 66例节育器异位育龄妇女中,X线能正确显示节育器形态者65例(98.5%),超声探查仅能分辨52例(78.8%)节育器的形态,差异具有统计学意义;X线观察宫内节育器位置异常者36例(54.5%),超声探查观察宫内节育器位置异常者47例(71.2%),差异具有统计学意义。结论X线及超声探查对于IUD异位的监测互有优势,应相互结合、联合监测。

Objective To investigate the merits and faults of X-ray and ultrasonic examination for monitoring ectopia of IUD. Methods Sixty-six women with ectopia of IUD were collected, and the detection rate of form and ectopic of IUD by X-ray and ultrasonic examination were analyzed. Results Among 66 women with ectopia of IUD, there were 65 cases（98.5%） of IUD form displayed correctly by X-ray, while only 52 cases（78.8%） of that displayed by ultrasonic examination, and the difference was statistically significant; there were 36 cases（54.5%） with ectopia of IUD displayed by X-ray, while 47 cases（71.2%） of that displayed by ultrasonic examination,and the difference was statistically significant. Conclusion X-ray and ultrasonic examination for monitoring ectopia of IUD have their own advantages, and should be mutual combination and joint monitoring.