Clinical Analysis of Intrauterine Device Migration
LI Ya-dong
CHENG Lei
Abstract：Objective To explore the occurring mechanism and diagnostic key points of intrauterine device (IUD) migration to reduce the incidence rate of complications. Methods Papers about IUD migration were retrieved from CNKI and CbmWin databases ( 2002-2013 ) , and general conditions, IUD types and positions, organs injuries, therapy methods and prognoses in the papers were analyzed. Results A total of 23 papers including 280 patients were selected to analyze. The main migrated IUD type was O-ring-shaped (40. 0%) followed by the T-shaped(12.5%); Displacement positions included intramural uterine(90 cases), rectouterine pouch (48 cases), epiploon (37 cases), abdominal cavity(25 cases), urinary bladder( 17 cases), bladder peritoneum (14 cases), cervix (14 cases), pelvic cavity (13 cases), broad ligament (12 ca-ses), intestinal tube (7 cases), ovary(2 cases) and vaginal posterior fornix (1 case);28 organs injury patients by migrated IUD included 19 patients with bladder injury, 4 with intestinal obstruction, 2 with sigmoid colon fistula, 1 with combination injuries of uterus and bladder, 1 with migrated IUD in abdominal cavity combined with urinary fistula, and 1 with migrated IUD in abdominal cavity combined with intestinal perforation and ankylenteron. Migrated IUD was taken out under endoscopy in 116 cases, by laparotomy in 87 cases, ultrasound guided transvaginal operation in 66 cases, and posterior fornix incision in 11 cases;1 patient refused transferred laparotomy, and other patients recovered well after the operation without any collateral damage. Conclusion IUD migration may induce multiple organs injuries, so clinicians should pay more attention to it.
Keywords：Intrauterine devicesIntrauterine device migrationGynecologic surgical procedures
Publication Date：2014-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 58-60 )