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目的 :探讨子宫穿孔的发生因素及防治措施。方法 :回顾性分析 17例因行计划生育手术致子宫穿孔的临床资料及诊治情况。结果 :17例子宫穿孔中 ,施行人工流产致穿孔 12例 ,占 70 5 9%( 12 / 17) ;放环致穿孔 3例 ,占 17 65 %( 3 / 17) ;取环致穿孔 2例 ,占 11 76%( 2 / 17)。手术治疗 10例 ,保守治疗 7例 ,合并脏器损伤 6例。结论 :子宫穿孔往往是手术者检查子宫位置、大小错误或未按手术操作常规进行 ,操作粗暴所致。其临床表现与穿孔大小、部位、是否伴有血管、内脏损伤有关
Objective: To investigate the incidence of uterine perforation factors and prevention measures. Methods: The clinical data and diagnosis and treatment of 17 cases of uterine perforation due to family planning operation were analyzed retrospectively. Results: In 17 cases of uterine perforation, 12 cases were caused by artificial abortion, accounting for 70 59% (12/17); 3 cases were caused by perforation (17 65%); 2 cases were perforation , Accounting for 11 76% (2/17). Surgical treatment in 10 cases, conservative treatment in 7 cases, combined with organ damage in 6 cases. Conclusion: Uterine perforation is often the operator to check the position of the uterus, the wrong size or not routine operation of the operation, due to rough operation. The clinical manifestations and perforation size, location, whether associated with blood vessels, visceral injury related