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本文综合国內8个单位116例节育手术子宫穿孔的资料,其子宫穿孔的发生率为0.079%.116例中人工流产术子宫穿孔91例,占76.45%;宫內节育器致子宮穿孔16例,占13.79%;取环、钳刮术穿孔9例,占7.76%.人工流产术中吸管致子宫穿孔最多,占48.4%.人工流产、钳刮、取环术子宫穿孔100例,手术治疗50例,主要为损伤面积大,合并脏器损伤或疑有脏器损伤者;保守治疗30例,均获痊愈.宫内节育器致子宫穿孔16例,14例行剖腹探查术取出,2例行后穹窿切开术取出.
In this paper, 116 cases of uterine perforation data from 8 units in China were enrolled, and the incidence rate of uterine perforation was 0.079% .There were 91 cases of uterine perforation in 116 cases (76.45%), 16 cases of intrauterine uterine perforation , Accounting for 13.79%; take the ring, clamp curettage perforation in 9 cases, accounting for 7.76% .The abortion induced abortion uterine perforation up to 48.4% .Induced abortion, clamp scraping, take the loop uterine perforation in 100 cases, surgical treatment of 50 Cases, mainly for large area of injury, combined with organ damage or suspected organ damage; Conservative treatment of 30 patients, were cured. IUD-induced uterine perforation in 16 cases, 14 cases of laparotomy removed, 2 cases After the fornix cut out.