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人工流产术广泛开展,术后子宫粘连的病例不断发生,我们遇见4例,报告如下。例一:36岁,主诉人工流产术后下腹坠胀。1978年8月13日因停经50多天诊断为早孕,在某医院行电吸刮术,经过顺利。10月3日觉下腹坠胀,无阴道流血。妇检:阴道无血液,后穹窿不饱满。宫颈光滑。子宫中位,略大,轻压痛。附件轻压痛,疑为子宫粘连。用探针探测宫腔,进入3~+cm时遇阻,稍加压力后即进入宫腔,随之流出少量暗黑色血液。下腹胀坠感逐渐消失。此后月经周期正常,唯血量较前减少,每次仅用纸3～4张,有时不用纸,一天即干净。考虑可能有宫腔粘连,于1983年7月行子宫造影术。结果:子宫腔较小,边缘不光整,子宫颈较狭窄。7月25日探宫腔深7cm,放金属避孕环。行人工周期2个周期。10月份经血正常,无腹痛。10月18日再行子宫造影,子宫腔形态、大小正常。双侧输卵管通畅。
Artificial abortion is widely carried out, cases of postoperative uterine adhesions continue to occur, we met 4 cases, the report is as follows. Example 1: 36 years old, complained of abdomen bulging after abortion. August 13, 1978 due to menopause 50 days diagnosed as early pregnancy, in a hospital line suction curettage, after a smooth. October 3, feel abdominal bulge, no vaginal bleeding. Maternity: vaginal blood, after the dome is not full. Cervical smooth. Uterus median, slightly larger, tender tenderness. Attachment light tenderness, suspected uterine adhesions. Detect the uterine cavity with the probe, enter the 3 ~ + cm encounter resistance, a little pressure into the uterine cavity, followed by a small amount of dark blood outflow. Lower abdominal distension gradually disappear. Normal menstrual cycle since then, the only reduction in blood volume compared to the previous, each time only 3 to 4 sheets of paper, and sometimes do not have paper, that day is clean. Consider possible intrauterine adhesions, in July 1983 underwent uterine angiography. Results: The uterine cavity is smaller, the edge is not smooth, the cervix is narrower. July 25 exploration of deep cavity 7cm, put a metal ring. Line 2 cycles of labor cycle. Normal menstrual blood in October, no abdominal pain. October 18 line uterine contrast, uterine cavity shape, the size of normal. Unilateral tubal patency.