穿孔宫内避孕器作为反复性尿路感染的非典型原因:一个案例报告
Sophia Ford1, Samantha Levine1, Aaron Baer1
1Division of Urology, Department of Surgery, Saint Louis University School of Medicine, Saint Louis, Missouri, USA.
Case reports in urology
|October 31, 2025
概括
一个50年前的子宫内置器 (IUD) 侵蚀了膀,导致骨盆疼痛和反复性尿路感染 (rUTI). 微创手术有效地管理了老年患者这种罕见的并发症.
科学领域:
- 妇科 妇科医生 妇科
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 最少侵入性的手术
背景情况:
- 临床医生可能会忽视盆腔疼痛和复发性尿路感染的罕见原因.
- 延迟子宫内置器 (IUD) 侵蚀是一种不常见的病因.
- 较旧的宫内节育器,保留的时间比目前的指导方针建议的要长,可能会导致并发症.
研究的目的:
- 报告一个长期保留的IUD侵蚀到膀的病例.
- 为了突出一次性尿路感染 (rUTI) 和盆腔疼痛的罕见原因.
- 在老年患者中为这种并发症提供最少的侵入性腹腔镜治疗.
主要方法:
- 一份病例报告详细介绍了一种50年前的宫内节育器,它侵蚀了膀.
- 对临床表现,诊断和外科干预的审查.
- 腹腔镜技术的应用,以进行切除和修复.
主要成果:
- 通过腹腔镜成功手术治疗膀侵蚀的宫内节育器.
- 患者的复发性尿路感染和盆腔疼痛症状的消失.
- 展示适合老年患者的最少侵入性方法.
结论:
- 延迟的宫内节育器侵蚀是慢性骨盆疼痛和rUTI的潜在原因.
- 腹腔镜手术为宫内节育器侵蚀提供了一种安全有效的治疗选择.
- 对长期保留的异物体的认识对于老年妇女的准确诊断至关重要.
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