宫腔镜取环术用于宫内节育环嵌顿的临床效果观察

Observation of the clinical effect of hysteroscopic removal of IUD for intrauterine device incarceration

目的探讨对宫内节育环嵌顿采用宫腔镜取环术治疗的临床效果。方法60例宫内节育环嵌顿患者,随机分为对照组和观察组,每组30例。对照组采用常规取环术治疗,观察组采用宫腔镜取环术治疗。比较两组手术指标以及取环情况、并发症发生率。结果观察组手术时间(18.61±4.57)min、取环时间(8.12±1.53)min均短于对照组的(31.44±7.25)、(10.33±2.10)min,阴道出血量(9.76±2.10)ml少于对照组的(16.25±2.43)ml(P<0.05)。观察组取环成功率96.67%高于对照组的70.00%(P<0.05)。观察组并发症发生率6.67%低于对照组的36.67%(P<0.05)。结论对宫内节育环嵌顿患者采用宫腔镜取环术治疗较常规取环术操作简单、效率高,对患者损伤小,能够提高取环成功率,可降低术后并发症发生风险,值得推广。

Objective To explore the clinical effect of hysteroscopic removal of IUD for intrauterine device incarceration.Methods 60 patients with intrauterine device incarceration were randomly divided into a control group and an observation group,with 30 cases in each group.The control group was treated with routine IUD removal,and the observation group was treated with hysteroscopic removal of IUD.The surgical indexes,IUD removal and incidence of complications were compared between the two groups.Results The observation group had operation time of(18.61±4.57)min and time for IUD removal of(8.12±1.53)min,which were shorter than(31.44±7.25)and(10.33±2.10)min in the control group;the observation group had less amount of vaginal bleeding of(9.76±2.10)ml than(16.25±2.43)ml in the control group(P<0.05).The success rate of IUD removal in the observation group was 96.67%,which was higher than the control group's 70.00%(P<0.05).The incidence of complications in the observation group was 6.67%,which was lower than the control group's 36.67%(P<0.05).Conclusion For patients with intrauterine device incarceration,the use of hysteroscopic removal of IUD is simpler and more efficient than conventional IUD removal,with less damage to the patient,high success rate of IUD removal and low risk of postoperative complications.It is worthy of popularization.