腹腔内释放左炔诺孕酮宫内节育器:附2例报告。

IF 0.2 4区医学 Q4 Medicine

生殖医学杂志 Pub Date : 2017-03-01

Kristina Drusany Starič, Pepita Taneska, Andrej Zore, Adolf Lukanović, Borut Kobal, Branko Cvjetićanin, Katja Jakopič

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引用次数: 0

摘要

背景:现代妇科常使用含左炔诺孕酮的宫内节育器(IUD)作为避孕方法。释放左炔诺孕酮的宫内系统很小，呈t形。在斯洛文尼亚，只有妇科医生才能植入。病例:我们提出了2例临床病例，尽管有强有力的证据表明在插入期间没有发生穿孔，但宫内节育器在子宫外被发现。如果宫内节育器螺纹不可见或宫内节育器不能位于宫腔内，则必须对腹部进行x光检查。如果发现宫内节育器在子宫外的腹腔内，则通过腹腔镜取出。结论:由于宫内节育器的大量植入，与左炔诺孕酮释放宫内系统相关的并发症相当罕见，因此它仍然是最广泛使用的避孕方法之一。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

本刊更多论文

Levonorgestrel-Releasing Intrauterine Contraceptive Device in the Peritoneal Cavity: A Report of Two Cases.

Background: In modern gynecology an intrauterine device (IUD) with levonorgestrel is often used as a method of contraception. The levonorgestrel-releasing intrauterine system is small and T-shaped. In Slovenia, only a gynecologist may insert it. CASES: We present 2 clinical cases in which, despite strong evidence that no perforation had occurred during insertion, the IUD was found outside the uterus. If the IUD threads are not visible or the IUD cannot be located in the uterine cavity, an X-ray of the abdomen must be performed. If the IUD is found in the abdominal cavity outside the uterus, removal by laparoscopy is carried out.

Conclusion: Given the large number of inserted IUDs, the complications associated with the levonorgestrel-releasing intrauterine system are quite rare, and therefore it remains one of the most widely used contraceptive methods.

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来源期刊

生殖医学杂志医学-妇产科学

自引率

0.00%

发文量

6427

审稿时长

6-12 weeks

期刊介绍： The Journal of Reproductive Medicine® has been the essential tool of Obstetricians and Gynecologists since 1968. As a highly regarded professional journal and the official periodical of six medical associations, JRM® brings timely and relevant information on the latest procedures and advances in the field of reproductive medicine. Published bimonthly, JRM® contains peer-reviewed articles and case reports submitted by top specialists. Common topics include research, clinical practice, and case reports related to general obstetrics and gynecology, infertility, female cancers, gynecologic surgery, contraception, and medical education.