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成功取出植入25年后的六根左炔诺孕酮硅橡胶皮下植入剂(诺普兰):一例报告

Successful Removal of Six Levonorgestrel Silastic Subcutaneous Implants (Norplant) 25 Years After Insertion: A Case Report.

作者信息

Old Evan A, Gajarawala Shilpa, Knight Dacre R, Pak Kaitlyn, Carrubba Aakriti R

机构信息

Department of Internal Medicine, Mayo Clinic, Jacksonville, USA.

Department of Medical and Surgical Gynecology, Mayo Clinic, Jacksonville, USA.

出版信息

Cureus. 2024 Jul 1;16(7):e63585. doi: 10.7759/cureus.63585. eCollection 2024 Jul.

Abstract

Levonorgestrel-releasing silastic implants are a form of subdermal contraception that utilizes implanted silastic rods to release levonorgestrel, providing long-acting reversible contraception over an extended period of time. This case report presents a female who had lost a significant amount of weight after receiving levonorgestrel-releasing implants 25 years prior. During the elapsed period, the rods were palpable and uncomfortable. She had previously been unable to find a provider willing to remove the implants. This case highlights the possible complications surrounding the removal of levonorgestrel silastic subcutaneous implants and the careful consideration required when the implant has been in place for an extended period.

摘要

左炔诺孕酮缓释硅橡胶植入剂是一种皮下避孕方式,它利用植入的硅橡胶棒释放左炔诺孕酮,在较长一段时间内提供长效可逆避孕效果。本病例报告介绍了一名女性,她在25年前接受左炔诺孕酮缓释植入剂后体重显著减轻。在此期间,这些棒状物可触及且令人不适。她此前一直无法找到愿意取出植入剂的医疗服务提供者。本病例突出了左炔诺孕酮硅橡胶皮下植入剂取出可能存在的并发症,以及植入剂长期留存时所需的谨慎考量。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/31a0/11290371/74147eaff20f/cureus-0016-00000063585-i01.jpg

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