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因一枚保留了三十年的铜-7宫内节育器导致的绝经后出血。

Postmenopausal bleeding due to a Cu-7 intrauterine device retained for thirty years.

作者信息

Wagner Corey A, Gimpelson Richard J

机构信息

St John's Mercy Medical Center, St Louis, Missouri, USA.

出版信息

JSLS. 2012 Apr-Jun;16(2):329-32. doi: 10.4293/108680812x13427982376743.

DOI:10.4293/108680812x13427982376743
PMID:23477190
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3481229/
Abstract

BACKGROUND

A retained intrauterine device is a rare, but easily correctable, cause of postmenopausal bleeding (PMB).

CASE

A 64-year-old woman presented to her gynecologist with PMB. Sonographic evaluation of the endometrium revealed the presence of a Cu-7 IUD retained for at least 30 years. Hysteroscopically assisted retrieval of the IUD resulted in complete resolution of symptoms.

CONCLUSION

A retained IUD should be considered in the differential diagnosis for PMB. In addition, the authors recommend pelvic sonography as the first-line diagnostic modality for PMB to aid the diagnosis of retained IUD as well as other pathology.

摘要

背景

宫内节育器残留是绝经后出血（PMB）的一个罕见但易于纠正的原因。

病例

一名64岁女性因绝经后出血就诊于妇科医生。子宫内膜超声检查发现一枚Cu-7宫内节育器残留至少30年。宫腔镜辅助取出宫内节育器后症状完全缓解。

结论

在绝经后出血的鉴别诊断中应考虑宫内节育器残留。此外，作者建议盆腔超声作为绝经后出血的一线诊断方法，以帮助诊断宫内节育器残留及其他病变。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f31f/3481229/2aceb60adec1/jls0021228700004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f31f/3481229/dd2866447bcf/jls0021228700001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f31f/3481229/b7ef973d4263/jls0021228700002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f31f/3481229/4450e907683a/jls0021228700003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f31f/3481229/2aceb60adec1/jls0021228700004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f31f/3481229/dd2866447bcf/jls0021228700001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f31f/3481229/b7ef973d4263/jls0021228700002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f31f/3481229/4450e907683a/jls0021228700003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f31f/3481229/2aceb60adec1/jls0021228700004.jpg

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