经阴道镜取出早期妊娠宫内节育器。
Hysteroscopic removal of intrauterine device in early pregnancy.
机构信息
Department of Obstetrics and Gynaecology, Institute for Maternal and Child Health-IRCCS "Burlo Garofolo", 34137, Trieste, Italy.
Department of Medicine, Surgery and Health Sciences, University of Trieste, 34100, Trieste, Italy.
出版信息
BMC Womens Health. 2022 Oct 27;22(1):425. doi: 10.1186/s12905-022-02012-5.
BACKGROUND
Intrauterine devices (IUDs) are commonly used as contraceptives worldwide. However, pregnancies in patients carrying this kind of device may occur. IUD removal when the woman wishes to continue their pregnancy may be very challenging. Only 9 manuscripts in literature reported such similar procedure.
CASE PRESENTATION
We report the case of an hysteroscopic removal of IUD in a young woman at 6 weeks of gestation.
DISCUSSION
The case reported highlights safety and efficacy of operative hysteroscopy as a method of IUD removal in early pregnancy, although other different methods have been reported in literature. In our opinion, maintaining a low infusion pressure during the procedure may help avoiding potential gestational sac damage and IUD displacement for better grasping.
背景
宫内节育器（IUD）在世界范围内被广泛用作避孕工具。然而，带器妊娠的情况也时有发生。当女性希望继续妊娠时，取出 IUD 可能极具挑战性。文献中仅有 9 篇报道了类似的处理方法。
病例介绍
我们报告了一例在妊娠 6 周的年轻女性中行宫腔镜下取出 IUD 的病例。
讨论
该病例强调了手术性宫腔镜作为一种在早期妊娠中取出 IUD 的方法的安全性和有效性，尽管文献中也报道了其他不同的方法。我们认为，在手术过程中保持较低的灌注压力有助于避免潜在的妊娠囊损伤和 IUD 移位，以便更好地抓取。
Zotero 插件