CAJ | 학술논문

目的：探讨宫腔镜在妇女宫内节育器取出失败案例中的应用。方法对本院2012年2月至2014年5月共42例常规取节育器失败者进行宫腔镜检查，了解宫内节育器的位置、形状、嵌顿情况及宫内有无病变，并由宫腔镜操作孔插入微型异物钳，将宫内节育器取出。结果42例受术者的宫内节育器均被顺利取出，无一例子宫穿孔、脏器损伤、出血、感染等并发症发生。结论将宫腔镜应用于常规方法取环失败的案例中，是一种安全、可靠、简单易行且患者痛苦小的手术方法，值得临床推广。
목적：탐토궁강경재부녀궁내절육기취출실패안례중적응용。방법대본원2012년2월지2014년5월공42례상규취절육기실패자진행궁강경검사，료해궁내절육기적위치、형상、감돈정황급궁내유무병변，병유궁강경조작공삽입미형이물겸，장궁내절육기취출。결과42례수술자적궁내절육기균피순리취출，무일례자궁천공、장기손상、출혈、감염등병발증발생。결론장궁강경응용우상규방법취배실패적안례중，시일충안전、가고、간단역행차환자통고소적수술방법，치득림상추엄。
Objective To investigate the application of hysteroscopy in the convention recipe ring failure. Methods Forty-two patients admitted in Fuyang people’s hospital from February 2012 to May 2014 who failed in removing in-trauterine contraceptive device were re-checked by hysteroscopy. The shape and position of the intrauterine contraceptive devices clearly detected by hysteroscopy,and micro foreign body forceps was facilitated to remove the intrauterine contraceptive device. Results The intrauterine contraceptive devices in 42 cases were all removed successfully and no uterine perforation,organ inju-ry,uterine blooding,infections or other complications occurred. Conclusion The application of hysteroscopy is a safe,reliable and simple method for convention remove ring failure and worthy to be promoted.