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目的探讨人工流产后继发不孕的原因及预防。方法回顾分析210例患者的临床资料。结果本组210例人工流产导致不孕症的最主要原因为输卵管因素125例,其中单侧输卵管阻塞43例,单侧不全阻塞30例,双侧输卵管阻塞35例,双侧不全阻塞17例;盆腔粘连55例;子宫内膜异位症22例;宫颈、宫腔粘连8例。结论加强婚前性知识和避孕为主的宣传教育,严格掌握人工流产适应证及禁忌证,强化无菌操作观念,术后做好避孕指导及卫生宣教,减少人工流产术,避免不孕症的发生率。
Objective To investigate the causes and prevention of secondary infertility after induced abortion. Methods The clinical data of 210 patients were retrospectively analyzed. Results The main causes of infertility in 210 cases of induced abortion in our group were 125 cases of tubal factors, including unilateral tubal obstruction in 43 cases, unilateral unilateral obstruction in 30 cases, bilateral tubal occlusion in 35 cases and bilateral unilateral obstruction in 17 cases. Pelvic adhesions in 55 cases; endometriosis in 22 cases; cervical, uterine adhesions in 8 cases. Conclusion To strengthen prenuptial knowledge and contraceptive-based publicity and education, strict abortion indications and contraindications, and strengthen the concept of aseptic operation, postoperative contraception and health education to do to reduce abortion, and to prevent the occurrence of infertility rate.