Migration of Intra-Uterine Devices.

IF 1.8 Q3 OBSTETRICS & GYNECOLOGY
Open access journal of contraception Pub Date : 2024-03-12 eCollection Date: 2024-01-01 DOI:10.2147/OAJC.S458156
Victoria Verstraeten, Karlien Vossaert, Thierry Van den Bosch
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引用次数: 0

Abstract

Intrauterine devices (IUDs) are a widely used contraceptive. Possible complications from IUDs include failed insertion, pain, vasovagal reaction, infection, abnormal bleeding, and expulsion. Uterine perforation and migration of the IUD are rare complications occurring in approximately 1-2 per 1000 insertions. We executed a systematic review by reviewing all case reports and case series on IUD migration, published between December 2002 and December 2022. Our review indicates that about half of these patients present with pain and that a third are completely asymptomatic. The most common sites of migration are the intestine, bladder, and omentum. We found that the preferred method for removing the migrated IUD is laparoscopy. Generally, there are no lasting injuries after the removal of the migrated IUD, but occasionally, severe complications have been reported. Healthcare providers should be vigilant about this rare complication, especially in cases of painful insertion or the presence of other risk factors for perforation. When uterine perforation is diagnosed, it is advisable to remove the IUD to prevent severe complications.

宫内设备的迁移。
宫内节育器(IUD)是一种广泛使用的避孕药具。宫内节育器可能出现的并发症包括:放置失败、疼痛、血管迷走神经反应、感染、异常出血和脱出。子宫穿孔和宫内节育器移位是罕见的并发症,每 1000 次放置宫内节育器中约发生 1-2 例。我们对 2002 年 12 月至 2022 年 12 月间发表的所有有关宫内节育器移位的病例报告和系列病例进行了系统回顾。我们的研究表明,这些患者中约有一半伴有疼痛,三分之一完全没有症状。最常见的移位部位是肠道、膀胱和网膜。我们发现,取出移位宫内节育器的首选方法是腹腔镜手术。一般来说,移位的宫内节育器在取出后不会造成永久性损伤,但偶尔也会出现严重并发症。医疗服务提供者应警惕这种罕见的并发症,尤其是在插入疼痛或存在其他穿孔风险因素的情况下。一旦确诊为子宫穿孔,建议取出宫内节育器以防止严重并发症的发生。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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