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一个避孕器的皮下装置迁移到肺部
Joud Enabi1, Rami Al-Ayyubi1, Pablo Amador1
1Internal Medicine, Texas Tech University Health Sciences Center, Odessa, USA.
Cureus
|December 4, 2023
概括
一个罕见的情况,一个迁移到肺动脉的皮下避孕植入物 (Implanon) 成功被切除. 由经过培训的专业人员进行适当的插入技术对于防止显著的植入物迁移至关重要.
科学领域:
- 医学案例报告 病例报告
- 干预性放射学 干预性放射学
- 避孕药是一种避孕药,用于避孕.
背景情况:
- 皮下避孕植入物广泛用于长期可逆避孕.
- 虽然轻微的迁移 (<2厘米) 是可能的,但显著的迁移并不常见.
- 避孕植入物的肺动脉迁移是一种极其罕见的并发症.
研究的目的:
- 报告一种罕见的皮下避孕植入物迁移到肺动脉的罕见病例.
- 描述迁移的植入物的成功内血管切除.
- 强调正确的插入技术的重要性,以防止迁移.
主要方法:
- 一名38岁的女性患者接受了一种迁移的皮下Implanon避孕植入物.
- 通过胸部计算机断层扫描证实了诊断,在肺动脉分支中识别了异物.
- 血管内移除通过干预放射科医生通过右股骨静脉通道进行.
主要成果:
- 一个迁移的Implanon避孕植入物成功地定位在左肺动脉内.
- 植入物被使用内血管方法完全移除.
- 在移除手术过程中或之后没有报告任何直接的并发症.
结论:
- 皮下避孕器植入物的显著迁移超过2厘米是罕见的,可能表明插入不当.
- 血管内移除是一种可行的选择,用于管理罕见的肺动脉植入物迁移病例.
- 训练有素的专业人员遵守正确的插入技术对于患者的安全和植入物有效性至关重要.
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