国际生殖健康/计划生育杂志2026，Vol.45Issue(2)：130-132,3.DOI:10.12280/gjszjk.20250586
带器妊娠合并宫内节育器子宫穿孔一例
Pregnancy with Intrauterine Device Complicated by Uterine Perforation:A Case Report
张金秀 1袁皓月 1张文霞 2郑铎3
作者信息
- 1. 1747100 甘肃省甘南藏族自治州,夏河县人民医院妇产科
- 2. 兰州大学第一医院超声医学科
- 3. 兰州大学第一医院妇产科||甘肃省妇科肿瘤临床研究中心
- 折叠
摘要
Abstract
We reported a case of the pregnancy with intrauterine devices(IUD)and uterine perforation.A 28-year-old female had a history of two full-term natural deliveries in 2018 and 2022,respectively and an IUD for one year.Due to 50 days of amenorrhea and 7 days of the displaced and incarcerated IUD,she came to our hospital for treatment.Preoperative examination,combined with serum human chorionic gonadotropin(hCG)and transvaginal ultrasound,confirmed the diagnosis of the pregnancy with IUD and uterine perforation.The IUD was completely removed,and bilateral tubal ligation was performed,under the combined hysteroscopy and laparoscopy while the negative pressure aspiration induced abortion was smoothly performed under hysteroscopy.The patient was discharged 2 days after the operation.After two weeks of postoperative follow-up,hCG was decreased to the normal range.It is suggested that the diagnosis of the pregnancy with IUD complicated by uterine perforation need a comprehensive consideration of multiple factors such as the first implantation of the IUD,improper placement of the IUD,recent pregnancy and metal IUD.Taking appropriate treatment is crucial for the prognosis of the patient.关键词
妊娠/宫内避孕器/子宫穿孔/诊断/治疗/预后Key words
Pregnancy/Intrauterine devices/Uterine perforation/Diagnosis/Therapy/Prognosis引用本文复制引用
张金秀,袁皓月,张文霞,郑铎..带器妊娠合并宫内节育器子宫穿孔一例[J].国际生殖健康/计划生育杂志,2026,45(2):130-132,3.
