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| A retrospective analysis of B-ultrasonography and computed tomography in diagnosis and therapy of ectopic intrauterine device |
| Hospital of Obstetrics and Gynecology, Fudan University, Shanghai, 200011 |
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Abstract To investigate the value of B-ultrasound and computed tomography (CT) for diagnosing ectopic intrauterine device (IUD), to study their influence on the therapy options, and to provide evidence for clinical treatment. Method: The data of 18 women with ectopic IUD from 2014 to 2018 were analyzed retrospectively. The diagnosing result by B-ultrasound and CT and the operative situation of women were compared. Results: 15 women were examined both by B-ultrasound and CT, and the diagnostic accuracy were 9/15 and 12/15, respectively (P>0.05), which had poor consistence (Kappa=-0.105, P>0.05). 4 women with partial ectopic IUD and 9 women with complete ectopic IUD were transvaginal removed IUD by B ultrasound monitoring or laparoscopy, and in which, 11 women (11/13, 84.6%) were completely removed. Conclusion: CT has more advantages in the diagnosis of complete or extrauterine ectopic IUD. Transvaginal removed IUD can be used as the preferred method for the treatment of ectopic IUD still in uterus.
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