Wagner H, Schweppe K W, Beller F K
Geburtshilfe Frauenheilkd. 1983 Feb;43(2):123-6. doi: 10.1055/s-2008-1037072.
Three cases are reported in which the lateral arm of the intra-uterine contraceptive device had broken off. The fragmentation of the intrauterine contraceptive device was observed during spontaneous expulsion and during extraction. The broken off portions of the intra-uterine devices were not located by sonography, radiography or computer tomography. In two of three cases the diagnosis was not made by hysteroscopy. In one case the remaining parts of the intra-uterine device were removed by curettage. The problems from partial perforation and embedding of the fragments are discussed and the management described. A hysteroscopic diagnosis and extraction the fragments is recommended.
报告了3例宫内节育器横臂折断的病例。在自然排出和取出过程中观察到宫内节育器发生断裂。通过超声、X线摄影或计算机断层扫描均未找到宫内节育器折断的部分。3例中有2例经宫腔镜检查未能做出诊断。1例通过刮宫术取出了宫内节育器的剩余部分。讨论了碎片部分穿孔和嵌入所带来的问题并描述了处理方法。建议采用宫腔镜诊断并取出碎片。
