本文選題：宮腔鏡 + 絕經(jīng)后�。� 參考：《生殖與避孕》2015年09期

【摘要】：目的:探討絕經(jīng)后宮內(nèi)節(jié)育器(IUD)取出困難的原因及宮腔鏡在絕經(jīng)后困難取IUD中的臨床應(yīng)用價值。方法:收集121例絕經(jīng)后IUD困難取出婦女宮腔鏡下取器的資料進(jìn)行分析。結(jié)果:121例婦女在宮腔鏡下均取器成功。術(shù)前應(yīng)用超聲診斷IUD嵌頓符合率為60%,靈敏度為62%,陽性似然比為1.24。另外,絕經(jīng)≤1年組婦女IUD嵌頓數(shù)明顯低于絕經(jīng)1~2年及2年組(P0.05)。置器年限≤10年組IUD嵌頓數(shù)明顯低于置器10~20年及20年組(P0.05)。結(jié)論:IUD嵌頓是絕經(jīng)后取器困難的主要原因。宮腔鏡能準(zhǔn)確了解IUD宮腔內(nèi)情況,很大程度上能提高取器成功率,降低手術(shù)風(fēng)險,是一種安全、有效的取器方法。
[Abstract]:Objective: to investigate the reasons for the difficulty in removing IUDs from postmenopausal IUDs and the clinical application value of hysteroscopy in postmenopausal IUD. Methods: the data of 120 postmenopausal IUD patients with difficult removal of hysteroscopic extractor were analyzed. Results 121 women were successfully removed under hysteroscopy. The coincidence rate, sensitivity, positive likelihood ratio and positive likelihood ratio of IUD were 60%, 62% and 1.24% respectively. In addition, the number of IUD incarceration in postmenopausal women 鈮，

本文編號：1960263