Zhang Salina, Batur Pelin, Martin Charles, Rochon Paul J
Case Western Reserve University School of Medicine, Cleveland, Ohio.
Department of Primary Care, Women's Health, Medicine Institute, Cleveland Clinic, Cleveland, Ohio.
Semin Intervent Radiol. 2018 Mar;35(1):23-28. doi: 10.1055/s-0038-1636517. Epub 2018 Apr 5.
As the reversible contraceptive arm implants grow more popular, there is an increasing need to recognize the complications resulting from implant migration and removal. This review summarizes the findings of imaging and removal methods. When an implant is lost, the axillary region should be investigated first. If the implant still cannot be found, visualization though different methods have been employed for non-radiopaque implants. Real-time fluoroscopic-guided localization and removal can be accomplished for radiopaque Nexplanon. Once the implant has been located, standard removal method and other modified techniques can be used to safely remove the implant depending on the implant's location.
随着可逆性避孕手臂植入物越来越受欢迎，认识到植入物迁移和取出所导致的并发症的需求日益增加。本综述总结了成像和取出方法的研究结果。当植入物丢失时，应首先对腋窝区域进行检查。如果仍未找到植入物，则已针对不透射线的植入物采用了不同方法进行可视化。对于不透射线的依伴侬（Nexplanon），可在实时荧光透视引导下进行定位和取出。一旦找到植入物，可根据植入物的位置使用标准取出方法和其他改良技术安全地取出植入物。
