초음파 기기를 이용한 촉지되지 않는 임플라논의 제거
Removal of non-palpable ImplanonTM by ultrasound guidance
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목적: 본 연구는 촉지되지 않는 임플라논의 제거에 실패하여 연세대학교 강남세브란스 병원으로 전원 된 환자를 대상으로 초음파 기기를 이용한 임플라논 제거법의 성과에 대해 알아보고자 하였다. 연구 방법: 2004년 3월부터 2009년 3월까지 촉지되지 않는 임플라논을 제거하려 하였으나 실패하여 강남 세브란스 병원으로 전원되어 초음파 기기를 이용하여 임플라논을 제거한 환자들의 의무기록을 분석하였다. 결과: 총 32명의 환자를 대상으로 하였으며 초음파상 18예는 임플라논이 피하지방층에 위치하였으며 10예는 근막층, 4예는 근육층에서 임플라논이 확인되었다. 시행 초기 정중 신경 손상이 있었던 1예를 제외하고 특별한 합병증 없이 연구 대상 전원 초음파 임플라논 제거에 성공하였다. 결론: 초음파 기기를 이용한 촉지되지 않는 임플라논의 제거는 효율적이고 안전한 방법이다.
Abstract
Objective: This study was designed to analyze outcome of removal of non-palpable ImplanonTM by ultrasound guidance. Methods: This is retrospective study of patients who were referred from local clinic where removal of non-palpable ImplanonTM had been failed. The cases were 32 patients who visited to Yonsei University Gangnam Severance Hospital between March 2004 through March 2009. Results: ImplanonsTM were localized on ultrasound in all 32 cases. 18 cases were located in subcutaneous layer, 10 cased were located in fascial layer, 4 cases were located in muscle layer. All cases were successfully removed. The average length of time required for removal was 19.3 minutes. There was no complication except one patient, who had mild median nerve injury. Conclusion: Ultrasound guidance removal was safe and effective procedure to remove non palpable ImplanonTM.
참고문헌 (14)
- Levine JP, "Assessment of Implanon insertion and removal", Contraception, 78, pp.409~417 (2008)
- Gun M, "Ultrasound appearance and removal of Implanon under ultrasound guidancea pictorial essay", ASUM Bulletin, 15, pp.10~12 (2002)
- Lantz A, "Ultrasound characteristics of subdermally implanted Implanon contraceptive rods", Contraception, 56, pp.323~327 (1997)
- Persaud T, "Torreggiani WC. Ultrasound-guided removal of Implanon devices", Eur Radiol, 18, pp.2582~2585 (2008)
- Adams K, "Implanon: a review of the literature with recommendations for clinical management", J Midwifery Womens Health, 54, pp.142~149 (2009)
- Makarainen L, "Ovarian function during the use of a single contraceptive implant: Implanon compared with Norplant", Fertil Steril, 69, pp.714~721 (1998)
- Wenzl R, "Pharmacokinetics of etonogestrel released from the contraceptive implant Implanon", Contraception, 58, pp.283~288 (1998)
- Lipetz C, "The cost-effectiveness of a long-acting reversible contraceptive (Implanon) relative to oral contraception in a community setting", Contraception, 79, pp.304~309 (2009)
- Sinofsky FE, "Assessment of ease of Implanon insertion and removal", Obstet Gynecol, 101(1), pp.13~ (2003)
- Zheng SR, "A randomized multicenter study comparing the efficacy and bleeding pattern of a single-rod (Implanon) and a six-capsule (Norplant) hormonal contraceptive implant", Contraception, 60, pp.1~8 (1999)
- Darney PD, "The “pop-out” method of Norplant removal", Adv Contracept, 8, pp.188~189 (1992)
- Piessens SG, "Ultrasound localisation of non-palpable Implanon", Aust N Z J Obstet Gynaecol, 45, pp.112~116 (2005)
- Edwards JE, "Implanon. A review of clinical studies", Br J Fam Plann, 24, pp.3~16 (1999)