摘要
目的探索宫内节育器嵌顿并妊娠分2次手术治疗的有效方法。方法分析我中心2009年5月~2015年6月,10例宫内节育器（宫型环、γ环形、圆环形）嵌顿并妊娠行人流（钳刮）术及取环术2次手术临床资料,2次手术间隔3~5 d,观察手术效果。结果 10例患者行人流（钳刮）和取环手术,手术时间（30±10）min,术中出血（150±20）ml,胚胎组织（10±5）g,取出10枚变形环（宫腔型环5枚、γ环形2枚、圆环形3枚）,无1例患者发生手术并发症。手术成功率100%。结论带器妊娠,其节育器嵌顿,属于严重的病理性避孕失败,先行人流（钳刮）术,后行取环术治疗,2次手术间隔3~5 d,可避免手术并发症的发生,是一种既简便、又有效的手术方式。
Objective To explore the effective therapeutic method of two operations for pregnant women with incarceration of IUD. Methods A total of 10 pregnant women with incarceration of IUD（uterine-shaped ring,γ-shaped ring,round ring） treated with abortion（scraping）and remove of intrauterine divice in our institution between May 2009 and June 2015 were retrospectively reviewed,the interval between initial and secondary surgeries was 3 ~ 5 d in average. Results Ten pregnant women were treated with abortion（scraping） and remove of intrauterine divice,operation time（30±10）min,intraoperative bleeding（150±20）ml,the embryo organizes（10±5） g,10 IUD（uterine-shaped ring5,γ-shaped ring2,round ring3）were removed. No complications occurred in patient. The success rate of operation was 100%. Conclusion Pregnancy with incarceration of IUD is a serious pathological contraceptive failure. Abortion（scraping）followed by remove of intrauterine divice,the interval between initial and secondary surgeries was 3 ~ 5 d,which could avoiding the occurrence of complicationscan be used as a simple and effective treatment option.
出处
《中国卫生标准管理》
2016年第6期43-44,共2页
China Health Standard Management
