Abstract: 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鄄occupying lesions, uterine abnormalities, intrauterine
adhesions, ectopic ring, incarcerated, cracked and atrophy in postmenopausal uterus, which should be removed
IUD under hysteroscop and Type鄄B ultrasonic should be combined with if necessary.

Key words: Intrauterine devices, Hysteroscopy, Diagnosis, Ultrasonography, Laparoscopy