宫腔镜下诊断和处理宫内节育环82例分析
[?????e??]1002-0179(2008)02-0262-02
???????)???????0?-??????????82???-??
DiagnosisandManagementon82CasesofIntrautericContraceptiveRingswithHysteroscopy
????,??????
3
,????,??????,???p
CHENHui,LUOGuo-lin,CHENJie,etal.
(?????E???????G???F????????,?????g??4?610041)
(DepartmentofObstetricsandGynecology,WestChinaSecondUniversityHospital,SichuanUniversity,Chengdu610041,China)
4?4?????:????:?F?????N?3???????????.???????0?-??????????(IUD)????????????4]????:2004??9?9??
2007??2?9?n?????????3????????????1327??,?????TIUD??????82??4]????24??70??,???<4617??;??????
????????78????????B??????4]????????????????IUD?6??????4]?5??????42??4]???(?D?9????40??4]????:
????IUD??????,????O??IUD62??,???lIUD?????217??,IUD????13??,IUD???-????18??,IUD????11
??,IUD????????????3??4]????????9??,???l????????????????6??,???-????3??4]?Y??????IUD6??4]??
?l??????4??,???-????2??4]????????IUD3??4]IUD?P???????K??????2??4]????:???N?3???????????????0
?-IUD?????????(????????4[?I?H?a4[?????E?????t??4]
???J??:??????;??????????;???o?p??
[?l???-????]R1691414?4?4?[???J?7???[]A
Abstract:Objective:Tosummarythediagnosisandmanagementoncomplicationsofintrauterinedevice(IUD)withthe
hysteroscopy.Methods:Eighty-twopatientaged24-70werediagnosedasIUDcomplicationsinthe1,327outpatientstotally
withhysteroscopyinourhospitalfromSeptember2004toFebruary2007.Theaveragewas4617yearsold;78ofthemhadultra2
soundexaminationbeforehysteroscopy.DiagnosisandremovalofIUDwithhysteroscopyweresimultaneous.Forty-twocases
wereusedlocalanesthesia,andtheother40caseswerebalancedanesthesia.Results:ThetypesofremovedIUD,H?62cases
wereO-shapedmetalIUD,ofwhich,17withintegrity,13withfracture,18withresidue,11withincarcerated,3caseswith2
outintrauterineIUDandshiftingintotheintraperitoneal.H?9caseswereflowertypecontraceptiverings.6withintegrity,3with
residue.H?6caseswereshield-shapedsiliconeIUD.4caseswithintegrity,2caseswithresidue.H?othert
ypeswere3.H?2
accompanimenswereputintouterinebymistaking.Conclusion:Hysteroscopymayhelptoaccurateloca
tion,lesstraumaand
saferfordiagnosisandmanagementofcomplicationsofintrautericdevice.
Keywords:hysteroscopy;intrauterinecontraceptivedevice/IUD;ufamily-plan/familyplanning
(Receiveddate:2007-11-05)
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262WESTCHINAMEDICALJOURNAL2008,Vol123,No124?CN51-1356/R
:1982-
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54????1???J
[1]??????,?1?k?u.???????0?-?A??????
?b?y83??[J].???N?F???X??,2006,
23(4):431.
[2]????.???????)???]?A??74???-??
[J].?l?????f?F???X??,2004,18
(4):224.
[3]??????,?v??.???????N?????i??????
???????l?????N[J].?l???????X??,
2000,6(6):39.
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???????f[J].????????,2006,4
(12):20.
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6,5
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[?????e??]1002-0179(2008)02-0263-02
?????>??4[???1???????F???f???????X???9????????
ClinicalInvestigationontheEffectofLiveCombinedBacillusSubtilisandEnterococcusFaeciumGran
ules
?????????E?????:??????
withMultivitaminesandPhenobarbitalSodiumintheTreatmentofBreast-milkJaundice
???A??,?????r
CHENYong-xiu,CHENLi-na
(?????E???????G???F???/??,?????g??4?610041)
(PediatricalDepartment,WestChinaSecondUniversityHospital,SichuanUniversity,Chengdu61004
1,China)
4?4?????:????:?????????>??4[???1???????F???f???????X???9?????????????????E??????????4]????:?-
60???????E???????/???T?-?TR?4[R???,?030?????/4]?H???<???[????????,R????6???????????>??4[???1??
?????F???f???????X??????????????;R??????N????????????4]?H?????/?<????7??14?L,????????????????
??4[????????????7?L?i?5?2?????v?:?????e4]????:?D???i3?L?H?????/?????<????????,7?L??I??33%4[
R???20%?????/???????b;?G14?L??R???93%4[R???63%?????/???????b4]?N????,?H?????/?5?2?????v?:??
???i?K???](P>0105),?N??7?L?iR????????v?:????R????i?K????(P<0105)4]????:???????E???????/,??
?9???N?????>??4[???1???????F???f???????X??????????,???j?????????????5?2?????v?:???t?????N??????
??,?????K??4]
???J??:?????>??4[???1???????F???f???????X;????????;?????E????
[?l???-????]R7221174?4?4?[???J?7???[]A
Abstract:Objective:Toinvestigatetheeffectoflivecombinedbacillussubtilisandenterococcusfaeciumgranuleswithmul2
tivitaminesandphenobarbitalsodiuminthetreatmentofbreast-milkjaundice.Methods:Sixtyinfantsdiagnosedasbreast-milk
jaundicewererandomlydividedintoGroupIandGroupR?,eachgrouphad30cases.Bothgroupscontinuedtobefedwithbreast
milk.Meanwhile,GroupIwasgivenLiveCombinedBacillusSubtilisandEnterococcusFaeciumGranuleswithMultivitaminesand
phenobarbitalsodiumsimultaneouslywhileGroupR?wassimplygivenphenobarbitalsodium.Bothgroupsweretreated7to14
days.ThechangesofpatientsvCjaundicewereobserved,serumbilirubinlevelsweremeasuredbeforeand7daysafterthetreat2
ment.Results:PatientsvCjaundicebegantoalleviate3daysaftertreatment.Thepercentageofpatientswhosejaundicedisappear
was33%inGroupR?,22%inGroupR?7daysafterthetherapyand93%,63%respectivelyatthe14thdayoftreatment.
Theserumbilirubinlevelsinbothgroupswerecomparablebeforethetreatment(P>0105),howeverthelevelwassignificantly
lowerinGroupR?comparedwithGroupR?7daysafterthetherapy(P<0105).Conclusion:CombinationofLiveCombined
BacillusSubtilisandEnterococcusFaeciumGranuleswithMultivitaminesandphenobarbitalsodiuminthetreatmentofbreast-milk
jaundiceachievedbettereffectscomparedwithsingleusageofphenobarbitalsodium.
Keywords:livecombinedbacillussubtilisandenterococcusfaeciumgranuleswithmultivitamines;phenobarbitalsodium;
breast-milkjaundice
(Receiveddate:2007-11-20)
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