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目的探讨重度宫腔粘连患者发病的相关因素。方法回顾性分析112例宫腔粘连患者的临床资料,分析重度宫腔粘连患者发病的相关因素。结果 112例宫腔粘连患者中81例(72.31%)患者为轻、中度宫腔粘连,31例(27.69%)患者为重度宫腔粘连。吸宫时负压高、吸宫时间长、病因、既往宫腔操作次数多、二次清宫、前次宫腔操作与粘连分离术间隔时间短是重度宫腔粘连患者发病的独立危险因素(P<0.05)。结论吸宫时负压高、吸宫时间长、病因、既往宫腔操作次数多、二次清宫、前次宫腔操作与粘连分离术间隔时间短是重度宫腔粘连患者发病的危险因素,对于此类患者应当加强监控,做到早发现、早治疗。
Objective To investigate the incidence of severe intrauterine adhesions related factors. Methods A retrospective analysis of 112 cases of intrauterine adhesions in patients with clinical data, analysis of the incidence of severe intrauterine adhesions related factors. Results Among the 112 patients with intrauterine adhesions, 81 (72.31%) patients had mild or moderate intrauterine adhesions and 31 (27.69%) patients had severe intrauterine adhesions. The high negative pressure during suction, the long time of suction, the etiology, the number of previous uterine operations, the second time of hysteroscopy, and the short time between intrauterine operation and adhesion separation were the independent risk factors of severe intrauterine adhesions (P <0.05). Conclusions The high negative pressure, the long time of suctioning the palace, the etiology, the number of previous uterine manipulation, the secondary clearance, the short time between the previous uterine cavity operation and the adhesion separation are the risk factors of severe intrauterine adhesions Such patients should strengthen monitoring, so early detection and early treatment.