Development and Clinical Evaluation of a Newly Developed Forceps to Remove Intrauterine Foreign Bodies

Clinical use of a new forceps for foreign body removal (Intrauterine forceps) is introduced in this paper. The forceps can fit in uterine cavity during operation. A total of 310 foreign bodies in uterus, including IUD breakage, IUD embedment and remained fetal bone were removed satisfactorily by the new forceps. Two case failed. The two failed cases were not diagnosed before operation. One was a broken stainless steel ring and embedded into myometrium deeply. It was difficult to remove the IUD and the patient was advised to undergo a hysteroscopy diagnosis. Another one was a stainless steel V shaped Cu IUD, which was broken into several pieces and removed by the forceps, but a small piece remained and was removed with aid of hysteroscopy. The new type of foeceps was proved to be effective and should be popularized.

取环钳结合B超在困难取环中的临床应用

目的：探讨取环钳结合B超在困难取环中的作用。方法：本组共132例，年龄38～69岁。采用的是随机取样法，金属单环95例，塑料单环37例，平均安环17年。取截石位，将B超探头置于耻骨联合上，扩宫至可通过5号扩宫器，在B超监测下，使用取环钳进人宫腔，钳住宫内节育器的游离端取出。结果：131例成功取出，仅1例因完全嵌入肌层未触及金属感而取环失败。2例短暂少量阴道出血，无发热、腹痛及脏器损伤等并发症。结论：取环钳结合B超可有效地应用于困难取环，该方法简便、易学，便于基层医院推广。