Gupta I, Sawhney H, Mahajan U
Department of Obstetrics and Gynaecology, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
Aust N Z J Obstet Gynaecol. 1989 Aug;29(3 Pt 2):352-5. doi: 10.1111/j.1479-828x.1989.tb01762.x.
Data is presented regarding 20 translocated intrauterine contraceptive devices (IUCD). Successful laparoscopic removal was made in 13 (65%) cases though all these devices were Copper 'T' 200 model which tend to produce dense adhesions. Only when the IUCD was suspected to be partially or fully in the gut lumen or thick adhesions were present, or the device was not visualised, was laparotomy performed. Hence it is advocated that laparoscopy should be performed as a routine in patients with suspected translocated IUCD, as it obviates the need for laparotomy and thus decreases the duration of the hospital stay as well as preventing morbidity associated with laparotomy.
本文呈现了20例移位宫内节育器（IUCD）的相关数据。尽管所有这些节育器均为铜“T”200型，这种型号往往会导致致密粘连，但仍有13例（65%）成功通过腹腔镜取出。仅在怀疑宫内节育器部分或完全位于肠腔内、存在致密粘连或未观察到节育器时，才进行剖腹手术。因此，提倡对疑似移位宫内节育器的患者常规进行腹腔镜检查，因为这样可避免进行剖腹手术，从而缩短住院时间，并预防与剖腹手术相关的发病率。
