宫内器械的迁移
Victoria Verstraeten1,2, Karlien Vossaert2, Thierry Van den Bosch1
1Obstetrics & Gynaecology - UZ Leuven Gasthuisberg, Leuven, Belgium.
Open access journal of contraception
|March 18, 2024
概括
宫内器械 (IUD) 在子宫穿孔后很少发生迁移. 一半的患者经历疼痛,而三分之一是无症状的. 最好采用 laparoscopic 切除,通常不会造成永久性伤害.
科学领域:
- 生殖医学 生殖医学
- 最少侵入性的手术
- 妇科 妇科医生 妇科
背景情况:
- 宫内器械 (IUD) 是一种常见的避孕药.
- 并发症包括疼痛,感染和排泄.
- 很少情况下,IUD可以穿透子宫并迁移.
研究的目的:
- 系统地审查病例报告和IUD迁移系列.
- 了解临床表现,迁移部位和迁移性宫内节育器的管理.
主要方法:
- 对IUD迁移的病例报告和系列的系统审查.
- 从2002年12月到2022年12月的文献搜索.
主要成果:
- 一半使用迁移性宫内节育器的患者出现疼痛;三分之一是无症状的.
- 常见的迁移部位包括肠道,膀和大脑.
- 腹腔镜检查是首选的切除方法,结果一般很好.
结论:
- 医疗保健提供者必须对IUD迁移保持警,特别是对于穿孔的风险因素.
- 在诊断出子宫穿孔后迅速切除宫内节育器,可以预防严重的并发症.
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