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目的:探讨产妇年龄、孕周、产次、多次人工流产术、羊水浑浊及相关因素致盆腔炎及输卵管炎性继发不孕的研究。方法:选取2006年1月-2009年1月阳江市中医院收治的分娩中羊水浑浊的127例患者作为盆腔炎及输卵管炎组,以盆腔炎及输卵管炎调查表的形式,其高危因素进行调查,选择同期分娩的产妇127例作对照组。结果:致盆腔炎及输卵管炎组孕妇中的刮宫史患者明显多于对照组患者,组间比较,差异具有统计学意义(P<0.05)。致盆腔炎及输卵管炎组孕妇中的羊水浑浊患者明显多于对照组孕妇,组间比较,差异具有统计学意义(P<0.05)。与此同时,产后盆腔炎及输卵管炎组孕妇的平均年龄、孕周以及产次均明显高于对照组孕妇,组间比较,差异具有统计学意义(P<0.05)。致盆腔炎及输卵管炎的继发不孕明显高于对照组(P<0.01)。结论:多次人工流产术和羊水浑浊是致盆腔炎及输卵管炎可导致继发不孕的主要原因之一,高龄多产和过期妊娠也易导致盆腔炎及输卵管炎。因此,应做好计划生育宣传,尽力做到首次妊娠分娩,以防止产后盆腔炎及输卵管炎。
Objective: To investigate the maternal age, gestational age, delivery times, multiple abortion, amniotic fluid turbidity and related factors of pelvic inflammatory disease and salpingitis secondary to infertility. Methods: From January 2006 to January 2009 Yangjiang Hospital of Chinese medicine admitted to delivery of amniotic fluid cloudy in 127 patients as pelvic inflammatory disease and salpingitis group, with pelvic inflammatory disease and salpingitis questionnaire form of the risk factors were investigated , Select the same period delivery of maternal 127 cases as control group. Results: The history of curettage in pregnant women with pelvic inflammatory disease and salpingitis group was significantly more than that in control group. The difference between the two groups was statistically significant (P <0.05). In patients with pelvic inflammatory disease and salpingitis, the number of pregnant women with amniotic fluid cloudy was significantly higher than that of pregnant women in the control group. There was significant difference between the two groups (P <0.05). At the same time, the average age, gestational age and delivery time of postpartum pelvic inflammatory disease and salpingitis group were significantly higher than those of pregnant women in the control group. There was significant difference between the two groups (P <0.05). Secondary infertility caused by pelvic inflammatory disease and salpingitis was significantly higher than that of the control group (P <0.01). Conclusions: Multiple abortion and amniotic fluid opacity are the main causes of pelvic inflammatory disease and salpingitis which can lead to secondary infertility. The elderly with prolific and overdue pregnancy also easily lead to pelvic inflammatory disease and salpingitis. Therefore, we should do a good job in family planning publicity, try to be the first pregnancy delivery, to prevent postpartum pelvic inflammatory disease and salpingitis.