56例宫内节育器子宫外异位分析

Factors Related to Complete IUD Perforation in 56 Cases

目的:探讨宫内节育器(intrauterine device,IUD)子宫外异位的相关因素,为临床安全使用IUD提供参考依据。方法:本研究纳入56例IUD子宫外异位,分析其临床特征和相关因素。结果:56例IUD子宫外异位者中20例(35.71%)为哺乳期放置,24例(42.86%)为首次放置。发现IUD异位时有腹痛症状者25例(55.36%)。IUD异位到膀胱者最多,为10例(17.86%),通过腹腔镜取出IUD者22例(39.29%)。结论:IUD子宫外异位可能与IUD构型、使用时间及首次使用有关。首次使用IUD者日常要规范随访,早发现IUD子宫外异位并予以处理。IUD使用者的随访中,要特别注意是否有腹痛症状。

Objective：To investigate the factors of the complete intrauterine device （IUD） perforation,and to evaluate the safety of IUD in clinical application.Methods：A total of 56 cases of the complete IUD perforation were included in this study.The clinical characters and the related factors were analyzed.Results：In all of the 56 cases,20 cases （35.71％） were found that the IUD insertion time was on the lactation period,and 24 cases （42.86％） used IUD for the first time.Abdominal pain was the main symptom in 25 cases （55.36％）.IUD was translocated into the bladder in 10 cases （17.86％）.Ectopic IUD was successfully removed by laparoscopy in 22 cases （39.29％）.Conclusions：Many factors,such as the IUD model,using span and use for the first time,could be related to the complete IUD perforation.Women using IUDs for the first time should have the regular follow-up visit.Abdominal pain in those IUD users should be noticed during the routine follow-up visit.