Elahi N, Koukab H
Department of Gynaecology and Obstetrics, Nishtar Medical College and Hospital, Multan.
J Pak Med Assoc. 2002 Jan;52(1):18-20.
To study the pattern of referral, method of diagnosis and management of patients admitted with lost Intrauterine Device (IUD).
A prospective study was conducted about lost intrauterine contraceptive devices and its management, in Gynaecology Department of Nishtar Hospital, Multan. Twenty eight patients with lost IUD were identified out of 7816 gynaecology admissions, during this period. The diagnosis was made on ultrasonography.
IUDs were removed after dilatation of cervix and exploration of uterine cavity in 20 patients. Five cases underwent laparotomy, in 2 cases laparoscopic removal was done and in one case IUD was taken out through proctoscope. In most of the cases IUD was inserted by untrained personnel.
It is recommended that IUDs should be inserted after proper case selection by trained medical professionals.
研究宫内节育器（IUD）丢失入院患者的转诊模式、诊断方法及处理方式。
在木尔坦尼什塔尔医院妇科对宫内节育器丢失及其处理进行了一项前瞻性研究。在此期间，在7816例妇科住院患者中确定了28例IUD丢失患者。通过超声检查进行诊断。
20例患者在宫颈扩张和宫腔探查后取出IUD。5例患者接受了剖腹手术，2例通过腹腔镜取出，1例通过直肠镜取出IUD。在大多数病例中，IUD由未经培训的人员插入。
建议由训练有素的医学专业人员在适当的病例选择后插入IUD。
