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目的:探讨人工流产后应用短效避孕药对宫腔粘连的预防作用。方法:选择永康市妇幼保健院385例行人工流产的患者,分为实验组(n=185)和对照组(n=200),实验组术后在一般治疗的基础上应用短效避孕药治疗,对照组行一般治疗,观察两组患者宫腔粘连率的发生情况。结果:两组患者在术后阴道流血持续时间、月经复潮时间、月经量减少等方面比较均具有统计学差异(P<0.05)。实验组轻度粘连、中度粘连、重度粘连分别为7例、4例、0例,宫腔粘连的发生率为5.94%(11/185),而对照组轻度粘连、中度粘连、重度粘连分别为24例、8例、2例,发生率为17.00%(34/200),两组比较具有统计学差异(P<0.05)。结论:在人工流产后应用短效避孕药可以很好地预防宫腔粘连的发生,值得在临床治疗过程中重视并推广应用。
Objective: To investigate the preventive effect of short-acting contraceptives on intrauterine adhesions after induced abortion. Methods: A total of 385 cases of induced abortion in the MCH hospital of Yongkang City were selected and divided into experimental group (n = 185) and control group (n = 200). The experimental group was treated with short-acting contraceptive , Control group general treatment, observe the incidence of intrauterine adhesions in both groups. Results: The duration of vaginal bleeding, the time of menstrual resuscitation and the reduction of menstrual flow were significantly different between the two groups (P <0.05). The rate of intrauterine adhesions was 5.94% (11/185) in the experimental group, mild adhesion, moderate adhesion, severe adhesion were 7 cases, 4 cases, 0 cases, The adhesion rate was 24 cases, 8 cases and 2 cases, respectively. The incidence rate was 17.00% (34/200). There was significant difference between the two groups (P <0.05). Conclusion: The application of short-acting contraceptives after induced abortion can prevent intrauterine adhesions well and is worthy of attention and popularization in clinical treatment.