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目的:探讨宫腔镜在难取性节育器中的应用价值。方法:选择2008年5月~2012年5月楚雄州人民医院妇科门诊及住院收治的57例典型常规取器失败后转诊患者,采用取器前后穹窿使用米索前列醇软化宫颈,宫腔镜直视下取环,必要时辅以超声监测取出。结果:宫腔镜下成功取出56例,成功率98.25%。无1例出现大量出血及子宫穿孔、水中毒等并发症,术后7天、1个月、3个月门诊随访患者无不适。结论:宫腔镜应用于困难节育器取出时操作具有方便直观、安全性及成功率高,并发症少等诸多优点,值得在临床推广。
Objective: To explore the value of hysteroscopy in refractory IUD. Methods: From May 2008 to May 2012 in Chuxiong People’s Hospital gynecology outpatient and inpatient treatment of 57 cases of typical conventional referral failure patients referral, using the forearm and forearm for the use of misoprostol to soften the cervix, hysteroscopy Take the ring under direct vision, if necessary, supplemented by ultrasound monitoring removed. Results: Hysteroscopic successful removal of 56 cases, the success rate of 98.25%. No one case of massive bleeding and uterine perforation, water poisoning and other complications, 7 days after surgery, 1 month, 3 months outpatient follow-up patients without discomfort. Conclusion: Hysteroscopy can be used clinically in the popularization of difficult IUDs because of its advantages of convenience and intuition, high safety and success rate, fewer complications and so on.