宫腔镜在宫内节育器嵌顿合并 宫内早孕治疗中的应用分析

Analysis of hysteroscopy IUD incarcerated merger for early pregnancy

摘要:

目的 分析宫腔镜应用于治疗宫内节育器嵌顿合并宫内早孕的临床价值。方法 回顾性分析53例宫内节育器嵌顿合并宫内早孕患者临床资料，其中23例采取彩超监视下宫腔镜取出宫内节育器+清宫术，余30例行彩超监视下清宫术+取环术。结果 宫腔镜治疗宫内节育器嵌顿合并宫内早孕手术时间为（24.9±2.8）min、手术成功率达95.7%（22/23）、节育环取出无残留率为95.7%（22/23）；对照组手术时间为（33.3±4.9）min、手术成功率70%（21/30）、节育环取出无残留率63.3%（19/30），两组比较差异均有显著性（P <0.05）。结论 对于宫内节育器合并宫内早孕要求终止妊娠的患者，宫腔镜可以在终止妊娠的同时取出嵌顿宫内节育器，定位准确，但要防止并发症。

Abstract:

【Objective】 To analyze the clinical value of hysteroscopy used in the treatment of the IUD incarcerated with intrauterine pregnancy. 【Methods】 A retrospective analysis of 53 cases of the IUD incarcerated merger early pregnancy in patients was conducted. 23 of which took the ultrasonography monitoring hysteroscopy IUD+curettage. The other 30 under ultrasonography monitoring took IUD surgery+curettage. 【Results】 Hysteroscopic treatment of IUD incarcerated merger early pregnancy operative time was (24.9±2.8) min, the surgical success rate was 95.7% (22/23), IUD removed without mutilation rate of 95.7% (22/23). The control group were (33.3±4.9) min, the surgical success rate was 70% (21/30), IUD removed without mutilation rate of 63.3% (19/30), the two groups were statistically significant difference (P <0.05). 【Conclusion】 Request for termination of pregnancy in patients early pregnancy intrauterine IUD merger, hysteroscopy can remove the termination of pregnancy while incarcerated IUD, accurate positioning, but, to prevent complications was necessary.