穿孔宫内节育器：内镜取出术
The perforated intrauterine device: endoscopic retrieval.
作者信息
Heinberg Eric M, McCoy Travis W, Pasic Resad
机构信息
Department of Obstetrics, Gynecology, and Women's Health, Division of Advanced Gynecologic Endoscopy, University of Louisville School of Medicine, Louisville, Kentucky, USA.
出版信息
JSLS. 2008 Jan-Mar;12(1):97-100.
BACKGROUND
Uterine perforation is the most serious complication associated with an intrauterine contraceptive device (IUD). Minimally invasive techniques, such as hysteroscopy and advanced laparoscopy, are ideally suited to the diagnosis and surgical management of the perforated IUD.
CASE REPORTS
Three cases of uterine perforation caused by an IUD and treated with endoscopic surgery are presented. In all 3 cases, the IUD was located by using x-rays, ultrasonography, or pelvic magnetic resonance imaging. Diagnostic laparoscopy was performed to identify the specific location of the IUD and to remove it. All patients recovered without incident.
CONCLUSION
The gynecologic surgeon should acquire familiarity with the complications of, and proficiency in managing, perforated and ectopic IUDs by using modern surgical techniques that permit the patient's rapid return to health.
背景
子宫穿孔是与宫内节育器（IUD）相关的最严重并发症。诸如宫腔镜检查和先进的腹腔镜检查等微创技术非常适合于诊断和手术处理穿孔的宫内节育器。
病例报告
本文介绍了3例由宫内节育器引起子宫穿孔并接受内镜手术治疗的病例。在所有3例病例中，通过X线、超声检查或盆腔磁共振成像来定位宫内节育器。进行诊断性腹腔镜检查以确定宫内节育器的具体位置并将其取出。所有患者均顺利康复。
结论
妇科外科医生应熟悉穿孔和异位宫内节育器的并发症，并熟练运用现代手术技术进行处理，以使患者能迅速恢复健康。
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