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目的:比较分析妇科B超、X线腹透这2种方法在检查IUD位置的准确性。方法:是通过对212例IUD的育龄妇女采用超声波和X线腹透的检查。B超显示212例育龄妇女中,有22例IUD位置异常,190例IUD位置正常。结果:190例IUD位置正常中X线腹透检查显示异常30例中,14例为子宫重度后倾后屈位或前倾前屈而IUD位置正常患者,9例为剖宫产术后高位子宫IUD位置正常者;3例为子宫中度脱垂IUD位置正常者,4例为子宫偏右或偏左IUD位置正常者。22例IUD位置异常中X线腹透检查显示正常9例中,其中6例为IUD位置轻、中、重度下移者,1例为右子宫角内节育器,2例为子宫肌层节育器。结论:超声检查可作为了解女性节育器位置的首选检查方法,X线腹透检查IUD位置的方法应该逐步被淘汰。
OBJECTIVE: To comparatively analyze the accuracy of gynecological B-mode ultrasonography and X-ray radiography in examining the location of IUD. Methods: The examination of 212 cases of IUD women of childbearing age using ultrasound and X-ray peritoneal dialysis. B-ultrasound showed 212 cases of women of childbearing age, IUD abnormality in 22 cases, 190 cases of IUD normal. Results: 190 cases of IUD normal position in the X-ray examination revealed abnormalities in 30 cases, 14 cases of severe posterior uterine posterior flexion or anterior flexion and IUD position of normal patients, 9 cases of post-cesarean section high uterus IUD normal position; 3 cases of moderate uterine prolapse IUD normal position, 4 cases of uterine right or left IUD normal position. X-ray peritoneal examination of 22 cases of IUD abnormalities showed normal in 9 cases, of which 6 cases were IUD with mild, moderate and severe downwards, 1 case with right IUD and 2 cases with IUD . Conclusion: Ultrasonography can be used as the preferred method to detect the position of female IUD. The method of X-ray examination of IUD position should be gradually eliminated.