Objective:To probe into the clinical value of hysteroscopy in removal of complicated IUD.Methods:A retrospective analysis was carried out in 47 cases from January 2006 to December 2009 in our hospital with complications associated with IUD and removed IUD under hysteroscopy.Results:In 47 cases,IUDs of 42 cases were removed under Hysteroscopy including 17 cases of IUD embedded in the myometrium,8 cases of broken IUD,4 cases of ectopic IUD,16 cases of IUD fractured with incarceration,2 cases of ring fracture with incarceration and 6 cases of intrauterine adhesions.In 4 ectopic IUD cases,2 cases were removed by laparotomy and 2 cases removed under laparoscopy,respectively.Conclusions:Hysteroscopy used in removal of complicated IUD can provide direct observation intrauterine ring,and have the advantages of safety and effectiveness,clear diagnosis,high success rate and less trauma.Those cases that had been failed to be removed IUD conventionally or had uterine space-occupying lesions,uterine abnormalities,intrauterine adhesions,ectopic ring,incarcerated,cracked and atrophy in postmenopausal uterus,which should be removed IUD under hysteroscop and Type-B ultrasonic should be combined with if necessary.

[目的]探讨妊娠期肝内胆汁淤积症对母婴的危害.[方法]对2006年1月至2007年12月在我院分娩的16例ICP病例进行回顾性分析.[结果]ICP患者胎儿窘迫、早产、产后出血,剖宫产发生率较高.[结论]早诊断、早治疗、加强胎心监护和适时终止妊娠,是改善妊娠结局的关键.

[目的]探讨引起新生儿锁骨骨折的产科相关因素。[方法]对2006年1月至2007年12月新生儿锁骨骨折22例进行回顾性分析。[结果]新生儿锁骨骨折常发生在肩难产时,新生儿出生体重>3 500 g是骨折发生的相关因素。产后常规新生儿体检可早期发现和及时处理,其预后良好。[结论]正确估计胎儿体重、选择分娩方式、提高阴道助产技术以及正确掌握分娩机转,可降低新生儿锁骨骨折的发生率。

[目的]探讨宫颈妊娠的诊断、治疗、进展以及预防。[方法]对2000年1月至2006年10月我院14例宫颈妊娠患者临床资料进行分析。[结果]14例宫颈妊娠,9例氨甲蝶呤+米非司酮保守治疗成功,2例选择性动脉栓塞术治疗成功,3例切除子宫。[结论]宫颈妊娠应早诊断和早治疗,氨甲蝶呤化疗及选择性动脉栓塞术为宫颈妊娠切实可行的治疗手段,保留患者子宫,提高生活质量。

[目的]明确妊娠合并卵巢肿瘤的诊断和处理。[方法]回顾性分析74例妊娠合并卵巢肿瘤的临床结果。[结果]74例均经手术或病理证实,其中良性肿瘤95．9%,交界性肿瘤2．7%,恶性肿瘤1．3%。妊娠卵巢肿瘤扭转率2．7%。孕前发现7例,早孕期10例、中孕期9例,孕晚期48例。[结论]妊娠合并卵巢肿瘤恶性度低,愈后好。应强调早孕期妇科检查、B 超监测和诊断后手术探查的重要性,处理随孕期不同而异。