宫内节育器嵌顿引起的纤维性包裹性结节1例并文献复习

Fibrous enveloping nodules caused by intrauterine device incarceration: a case report with literature review

目的探讨宫内节育器嵌顿引起纤维性包裹性结节的的临床特征, 旨在分析宫内节育器形成纤维性包裹性结节的原因和预防措施。方法回顾性分析2021年1月25日首都医科大学附属北京友谊医院诊治的1例宫内节育器嵌顿引起的纤维性包裹性结节患者的临床资料并文献复习, 分析其临床特点及发生原因。结果本研究中该病例为绝经后老年女性, 因要求取环就诊, 在超声引导下行宫腔镜检查, 术中见宫内节育器嵌顿, 另可见一宫腔内容物, 遂行宫腔镜下宫内节育器取出术及异物取出术, 手术困难但尚顺利, 术后病理回报为纤维组织伴玻璃样变性。结论宫内节育器是一种高效、安全、方便的长效避孕方法, 在我国应用较为普遍, 但随着放置时间增加, 并发症也随之增加。提高妇女的健康保健意识, 加强对宫内节育器相关知识的宣传, 对于绝经后具有宫内节育器的妇女, 建议尽早取出宫内节育器, 减少并发症的发生。

Objective To explore the clinical characteristics of fibrous encapsulated nodules caused by intrauterine device(IUD)incarceration,and to analyze the causes and preventive measures of fibrous encapsulated nodules caused by IUD.Methods A case of fibrous encapsulated nodule caused by IUD incarceration on January 25,2021 in Beijing Friendship Hospital Affiliated to Capital Medical University was analyzed retrospectively and the literature was reviewed.The clinical characteristics and causes were analyzed.Result In this study,the elderly postmenopausal women were asked to have the ring removed.During the ultrasound-guided hysteroscopy,the intrauterine device(IUD)incarcerated and an intrauterine contents were observed.Hysteroscopic IUD removal and foreign body removal were performed,which were difficult but smooth,and the postoperative pathological return was fibrous tissue with hyaline degeneration.Conclusion IUD is an effective,safe and convenient effective contraceptive method,which is widely used in China,but with the increase of placement time,the complications will increase.To improve women's health awareness,strengthen the promotion of IUD-related knowledge is very important,and for postmenopausal women with IUDs,it is recommended to remove the IUD as soon as possible to reduce the occurrence of complications.