实用妇产科杂志2011，Vol.27Issue(2)：127-130,4.
上海市宫内节育器取出术现状的调查分析
Situation on the Removal of Intrauterine Device in Shanghai
康建中 1肖志琴 1黄咏梅 1刘晓瑷1
作者信息
- 1. 上海交通大学医学院国际和平妇幼保健院,上海市计划生育技术指导所,上海200030
- 折叠
摘要
Abstract
Objective: To explore the possible causes of complications that happened at removal of intrauterine devices (IUD) as well as to find measures to improve the safety of the surgery based on analysis of the current situation and methods of IUD removal in Shanghai. Methods: A retrospective survey was conducted on all IUD removal cases at 87 hospitals in Shanghai from January 2001 to December 2007, including the method and place of IUD removal and with or without intravenous anaesthesia. Further investigations were performed on cases with severe complications. Results: The amount of regular IUD removal was increased from 2001 to 2007 ranging from 60000 to 100000 per year. Among which, 37. 61％ were carried in the secondary general hospitals, 16. 41％ were in the tertiary general hospitals, and 45. 98％ were in maternal and child hospital (MCH), respectively. Compared with that in 2001, the number of hospitalized hysteroscopic removal of IUD was increased 158.47％ in 2007, and the number of hysteroscopic removal of an IUD with intravenous anaesthesia was increased 124. 47％. The incidence of severe complications of regular removal of IUD was 2.99/100000, while that of hysteroscopic removal was 36. 00/100000. The severe complications of regular removal of IUD included viscus injury (14 cases) and infection-induced laparotomy (3 cases). The severe complications of hysteroscopic removal of IUD were death (4 cases). Conclusions: The number of IUD removal is increasing in recent years. The use of hysteroscope is proved helpful in difficult situations. It is right time to formulate a guideline for the hysteroscopic removal of IUD, which includes the first-aid supplies and the evaluation of the qualification of the operators.关键词
宫内节育器/宫腔镜/静脉麻醉/并发症/死亡分类
医药卫生引用本文复制引用
康建中,肖志琴,黄咏梅,刘晓瑷..上海市宫内节育器取出术现状的调查分析[J].实用妇产科杂志,2011,27(2):127-130,4.
