中文摘要：

目的：探讨宫腔镜联合B超在宫内节育器嵌顿中的治疗作用。方法回顾性分析2011年12月至2013年12月用宫腔镜联合B超治疗的103例宫内节育器嵌顿临床病例资料。结果期间共取环1509例，其中103例发生节育器嵌顿，各种嵌顿的节育器构成比分别为：金属圆环52例（8．11％），爱母环47例（17．21％），T型环2例（1．21％），宫型环1例（0．47％），吉妮环1例（1．37％）。节育器嵌顿发生在绝经前50例，绝经2年内10例，绝经2年以上43例。所有嵌顿节育器均在B超监测下宫腔镜下一次成功取出。结论金属圆环及爱母环较易嵌顿，绝经2年以上节育器易于发生嵌顿，应尽可能在绝经后2年内取环。对于嵌顿的宫内节育器，B超监测下宫腔镜检查及镜下取环是一种安全有效的治疗手段。

英文摘要：

Objective To investigate the clinical value of hysteroscopy under ultrasound scanning in removing incarceration of IUDs. Methods Retrospective study was conducted on the clinical data of 103 patients with incarceration of IUDs treated with hysteroscopy under ultrasound scanning between December 2011 and December 2013.Results IUDs in 1 509 cases were taken out including 103 cases with incarceration of IUDs.The incarcerated IUDs included Single Steel IUDs in 52 cases （8.11%）, Mother Love IUDs in 47 cases （17.21%）, T copper IUDs in 2 cases （1.21%）, uterine cavity type IUD in 1 case （0.47%） and Jeanne IUD in 1 case （1.37%）. Fifty cases were premenopausal women.Incarceration of IUDs occurred within 2 years after menopause in 10 cases, and that occurred more than 2 years after menopause in 43 cases.All incarcerated IUDs were successfully removed with hysteroscopy under ultrasound scanning. Conclusion Single Steel IUD and Mother Love IUD are easy to incarcerate than others.IUDs are more likely to incarcerate more than 2 years after menopause.IUDs should be removed within 2 years after menopause.It is safe and effective to remove incarcerated IUDs with hysteroscopy under ultrasound scanning.