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目的探讨人工流产后继发不孕的原因及临床分析。方法 2010年6月至2012年6月期间,我院诊治的40例人工流产术后继发不孕症患者,对其资料进行回顾性分析。结果 40例人工流产术后继发不孕患者中,有30例由于输卵管阻塞导致不孕,其发生率为75.0%,6例由于宫腔粘连导致不孕,其发生率为15.0%,4例由于子宫内膜异位症导致不孕,其发生率为10.0%。人工流产次数与继发不孕没有明显相关性,但继发不孕与人工流产术的技术水平有某种程度的联系。结论严格掌握人工流产适应证,提高手术水平,严格无菌操作,术后常规抗感染治疗,同时做好有效避孕等卫生宣教,有效降低人工流产术后继发不孕的发生率。
Objective To investigate the causes and clinical analysis of secondary infertility after induced abortion. Methods From June 2010 to June 2012, 40 cases of infertility secondary to induced abortion after diagnosis and treatment in our hospital were retrospectively analyzed. Results Of the 40 cases of infertility after induced abortion, 30 cases of infertility due to tubal obstruction, the incidence was 75.0%, 6 cases of infertility caused by intrauterine adhesions, the incidence was 15.0%, 4 cases Due to infertility caused by endometriosis, the incidence was 10.0%. There was no significant correlation between the number of induced abortion and secondary infertility, but there was some connection between the technical level of secondary infertility and induced abortion. Conclusions Strictly grasping the indications of induced abortion, improving the operation level, strictly aseptic operation, regular anti-infective treatment after operation, and effective public health education such as effective contraception can effectively reduce the incidence of secondary infertility after induced abortion.