宫腔镜在绝经后困难取宫内节育器中的临床应用——附121例临床分析

发布时间：2018-05-31 15:20

  本文选题：宫腔镜 + 绝经后　； 参考：《生殖与避孕》2015年09期

【摘要】：目的:探讨绝经后宫内节育器(IUD)取出困难的原因及宫腔镜在绝经后困难取IUD中的临床应用价值。方法:收集121例绝经后IUD困难取出妇女宫腔镜下取器的资料进行分析。结果:121例妇女在宫腔镜下均取器成功。术前应用超声诊断IUD嵌顿符合率为60%,灵敏度为62%,阳性似然比为1.24。另外,绝经≤1年组妇女IUD嵌顿数明显低于绝经1~2年及2年组(P0.05)。置器年限≤10年组IUD嵌顿数明显低于置器10~20年及20年组(P0.05)。结论:IUD嵌顿是绝经后取器困难的主要原因。宫腔镜能准确了解IUD宫腔内情况,很大程度上能提高取器成功率,降低手术风险,是一种安全、有效的取器方法。
[Abstract]:Objective: to investigate the reasons for the difficulty in removing IUDs from postmenopausal IUDs and the clinical application value of hysteroscopy in postmenopausal IUD. Methods: the data of 120 postmenopausal IUD patients with difficult removal of hysteroscopic extractor were analyzed. Results 121 women were successfully removed under hysteroscopy. The coincidence rate, sensitivity, positive likelihood ratio and positive likelihood ratio of IUD were 60%, 62% and 1.24% respectively. In addition, the number of IUD incarceration in postmenopausal women 鈮，

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