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目的:探究手术流产与药物流产对患者输卵管通畅影响。方法:将我院2013年1月至2015年1月接收的不孕妇女行子宫输卵管造影术者60例作为研究对象,按流产方式不同分为两组,对照组(n=30),实验组(n=30)。观察比较两组患者不孕情况。结果:实验组患者流产后输卵管阻塞例数11例,阻塞率为36.67%,明显低于对照组阻塞例数20例,阻塞率为66.67%,两组数据比较,存在统计学差异(P<0.05);实验组患者孕周≤6 w阻塞例数为6例,阻塞率为37.50%,>6 w患者阻塞例数为5例,阻塞率为35.71%,实验组不同怀孕周期流产导致输卵管阻塞率无明显差异(P>0.05);对照组孕周≤6 w流产患者为8例,输卵管阻塞率为57.14%,比较孕周>6 w流产患者12例,阻塞率为75.00%,对照组不同怀孕周期流产导致输卵管阻塞率差异存在统计学意义(P<0.05)。结论:药物流产与手术流产相比,发生输卵管堵塞机率明显较高,而怀孕高于6 w女性应用药物流产输卵管堵塞机率高于手术流产与怀孕6 w内药物流产女性。
Objective: To investigate the effects of surgical abortion and medical abortion on tubal patency in patients. Methods: 60 cases of infertility women underwent hysterosalpingography from January 2013 to January 2015 in our hospital were divided into two groups according to the mode of abortion. The control group (n = 30), experimental group (n = 30). Observation and comparison of two groups of patients with infertility. Results: In the experimental group, there were 11 cases of tubal obstruction after abortion, the obstruction rate was 36.67%, significantly lower than that of the control group (20 cases) and the obstruction rate was 66.67%. There was significant difference between the two groups (P <0.05 ). In the experimental group, the number of obstruction in 6 weeks was 6 cases, the obstruction rate was 37.50%, the number of obstruction in 5 cases was> 6 weeks and the obstruction rate was 35.71%. The tubal obstruction rate in different experimental periods There were no significant differences (P> 0.05). In the control group, there were 8 cases of abortion ≤6 weeks, the incidence of tubal obstruction was 57.14%, compared with 12 weeks of gestational weeks> 6 weeks, the obstruction rate was 75.00% Periodic abortion led to tubal obstruction rate differences were statistically significant (P <0.05). Conclusion: Compared with surgical abortion, the incidence of tubal blockage is significantly higher. However, the probability of tubal blockage of medical abortion is higher in pregnant women than in 6 w, which is higher than that of surgical abortion and medical abortion within 6 weeks of pregnancy.