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一个无症状的绝经后子宫穿孔与V形子宫内装置的双边嵌入:一个病例报告
Xilian Wu1,2, Ruxi Zheng1, Tianye Li1
1Department of Gynecology, The Second Affiliated Hospital, Zhejiang University School of Medicine, Zhejiang University, Hangzhou, China.
Frontiers in medicine
|February 23, 2026
概括
绝经后妇女保留的宫内器械 (IUD) 可能会导致无声穿孔. 结合透镜和透镜的方法安全地移除了深深嵌入的IUD,防止器官损伤.
科学领域:
- 妇科 妇科 妇科 妇科
- 最少侵入性的手术
- 诊断成像 诊断成像 诊断成像
背景情况:
- 绝经后保留的子宫内置器 (IUD) 在中国很普遍.
- 诸如子宫缩和器械侵蚀之类的并发症可能导致无声的子宫外参与.
研究的目的:
- 报告一种罕见的无症状的绝经后宫内节育器穿孔病例.
- 突出超声波的诊断局限性和手术期间警的重要性.
主要方法:
- 一名54岁的无症状的绝经后妇女经历了试图进行透性宫内避孕器切除的尝试.
- 由于极端的抗性,程序转换为腹腔镜,揭示了双部位的子宫外嵌入.
- 结合透镜和透镜的方法,以确保安全的IUD提取和salpingectomy.
主要成果:
- 避孕套穿透了子宫后壁,并嵌入左尿管附近.
- 反侧臂在右输卵管内受到冲击.
- 随着器官的保存,取得了成功的检索.
结论:
- 绝经后宫内节育器保留可以导致严重的无症状穿孔.
- 在宫镜术期间的极端引需要转换为腹腔镜.
- 综合方法可确保安全检索并保护相邻的器官.
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