Landowski P, Cristalli B, Levardon M, de Jolinière J B
Service d'Obstétrique, Hôpital Beaujon, Clichy.
Rev Fr Gynecol Obstet. 1990 Nov;85(11):623-5.
The intra-peritoneal location of an I.U.D. immediately after its insertion is not an unusual situation. In the context of a case of immediate migration followed by intra-uterine pregnancy, which was dealt with by diagnostic coelio-surgery and therapeutic coelio-surgery, we suggest a diagnostic and therapeutic sequence. The incidence of uterine perforation decreases with the experience of the operator. The diagnosis is clinical, ultrasonic, radiological and coelioscopic. Coelioscopic diagnosis makes it possible to choose the method of treatment. Coeliosurgery is feasible in virtually all cases. In experienced hands, this method is rapid, the hospitalization required short and the sequelae simple.
宫内节育器（I.U.D.）插入后立即位于腹腔内并非罕见情况。在一例插入后立即移位继而发生宫内妊娠的病例中，该病例通过诊断性腹腔镜手术和治疗性腹腔镜手术进行处理，我们提出了一个诊断和治疗流程。子宫穿孔的发生率会随着操作者经验的增加而降低。诊断方法包括临床检查、超声检查、放射学检查和腹腔镜检查。腹腔镜诊断有助于选择治疗方法。几乎在所有病例中，腹腔镜手术都是可行的。在经验丰富的医生手中，这种方法操作迅速，所需住院时间短，后遗症也简单。
