Analysis of 56 cases of ectopic IUD.docVIP

 PAGE \* MERGEFORMAT 12 Analysis of 56 cases of ectopic IUD 【Key Words】 IUD Intrauterine device (IUD) is a relatively safe, effective, simple, cheap, reversible, easy to accept birth control devices, has become China’s main contraceptive measures for women of childbearing age [1]. IUD insertion, there may be a variety of complications, while the ectopic IUD is one of a rare but serious complications. The author from January 2002 to June 2007 Women’s Paul Hospital site and the city of 56 clinical cases admitted to a retrospective analysis, and the reasons for its occurrence, diagnosis and treatment were discussed. A clinical data 1.1 General Information 56 patients aged 22 to 59 years, mean 32 years old, placed IUD time 50d ~ 32 years, 1 week after menstrual clean and placed in 27 cases, post-natal breast-feeding period, put 16 cases, flow is placed after the 13 cases. Metal single-loop 39 cases, 10 cases of palace-ring, T-shaped IUD 7 cases . 1.2 ectopic Type IUD embedded in the myometrium in 38 cases (some of them incarcerated in 28 cases, 10 cases fully incarcerated), ectopic to the uterus in 18 cases (of which 9 cases in the uterus rectum pouch, is located next to three cases of ovarian, located in Temple beside the broad ligament in 2 cases, was greater omentum wrapped, is located beside the left kidney in 1 case). 1.3 Clinical manifestations Under varying degrees of intermittent abdominal pain and lumbar bulge 27 cases, 16 cases of irregular vaginal bleeding, without any discomfort in 13 cases. 1.4 diagnosed based on Mainly based on ultrasound examination, abdominal plain film and CT. 2 Results Some 28 cases of incarcerated patients were obtained by conventional ultrasound-guided IUD removed, 10 cases of patients with complete incarcerated removed by Caesarean section in 7 cases, three cases under the surveillance of the ultrasound removed by hysteroscopy, located in the