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[左炔诺孕酮宫内节育器的腹腔移位。病例报告及文献复习]

[Abdominal migration of a levonorgestrel-releasing intrauterine device. Case report and review of the literature].

作者信息

Pont M, Lantheaume S

机构信息

Service de chirurgie gynécologique et mammaire, centre hospitalier de Valence, 179, boulevard Maréchal-Juin, 26953 Valence cedex 9, France.

出版信息

J Gynecol Obstet Biol Reprod (Paris). 2009 Apr;38(2):179-81. doi: 10.1016/j.jgyn.2009.01.005. Epub 2009 Mar 19.

Abstract

We report the case of a 27-year-old woman in amenorrhea after the installation of a levonorgestrel releasing intra-uterine device, 3 years previously. In front of pelvic continuing pains, paraclinic explorations diagnosed the DIU-LNG in intra-abdominal situation. An exploratory laparoscopy was realized and allowed its ablation. The authors discuss the systemic distribution of the levonorgestrel and the impact of the DIU-LNG in intra-abdominal situation by a review of the literature.

摘要

我们报告了一例27岁女性的病例,该女性在3年前放置左炔诺孕酮宫内节育器后出现闭经。面对盆腔持续疼痛,辅助检查诊断为宫内节育器-左炔诺孕酮位于腹腔内。进行了 exploratory laparoscopy(此处可能有误,推测为“腹腔镜探查术”)并将其取出。作者通过文献综述讨论了左炔诺孕酮的全身分布以及宫内节育器-左炔诺孕酮在腹腔内情况的影响。

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