宫腔声学造影在诊断及处理宫内节育器嵌顿中的价值

Value of Sonohysterography in the Diagonosis and Management of Embedded Intrauterine Device

目的 评价宫腔声学造影 (SHG)在诊断及处理宫内节育器 (IUD)嵌顿中的价值。方法 应用SHG对 18例疑IUD嵌顿的带器患者进行检查 ,并根据SHG检查结果予以相应处理。结果 SHG显示IUD浅嵌顿 10例、深嵌顿 4例、IUD下移 1例及双器 1例。除 1例放弃取器外 ,17例病人经适当手术方法取出IUD。结论 宫腔声学造影是诊断IUD嵌顿的一种简便、有效的新方法 。

Objective To evaluate the roles of sonohysterography (SHG)in the diagonosis and management of embedded intrauterine device (IUD).Methods Sonohysterography was performed in 18 patients suspected having a embedded IUD.The patient was then scheduled for an appropriate treatment,depending on the SHG findings.Results SHG revaled superficially embedded IUD in 10 patients,deeply embedded IUD in 4,misplaced IUD and double IUD in 1,respectively Except for one case,17 patients had their IUD removed by a proper surgical procedure.Conclusions SHG is a new,simple,effective method for the diagnosis of embedded IUD,and its use is helpful in the selection of appropriate removal procedures.