论文部分内容阅读
目的:探讨人工流产手术后发生继发不孕症的原因。方法:对我院2008年5月~2011年4月就诊的180例人工流产术后继发不孕症患者的临床资料进行回顾性分析。结果:本次研究的所有患者人工流产继发不孕症的原因:输卵管因素的89例(49.4%),其中单侧输卵管阻塞27例(15.0%),单侧输卵管不全阻塞的31例(17.2%),双侧输卵管阻塞18例(10.0%),双侧输卵管不全阻塞的13例(7.2%);盆腔粘连48例(26.7%);子宫内膜异住症40例(22.2%);宫颈、宫腔粘连3例(1.7%)。结论:人工流产术后继发不孕的主要原因是输卵管阻塞。严格按照操作规范进行手术,预防并及时处理手术过程中出现的并发症,使人工流产后继发性不孕症的发生减少。
Objective: To investigate the causes of secondary infertility after induced abortion. Methods: A retrospective analysis was performed on the clinical data of 180 cases of post-abortion secondary infertility treated in our hospital from May 2008 to April 2011. RESULTS: The causes of secondary infertility caused by induced abortion were all in 89 patients (49.4%), including unilateral fallopian tube obstruction in 27 cases (15.0%), unilateral tubal obstruction in 31 cases (17.2% %), Bilateral tubal occlusion in 18 cases (10.0%), bilateral tubal occlusion in 13 cases (7.2%), pelvic adhesion in 48 cases (26.7%), endometriosis in 40 cases (22.2% , Intrauterine adhesions in 3 cases (1.7%). Conclusion: The main reason for secondary infertility after induced abortion is tubal obstruction. In strict accordance with the norms of surgery, prevention and timely treatment of complications occurred during the operation so that the incidence of secondary infertility after abortion reduced.