论文部分内容阅读
目的探讨人工流产后继发不孕的原因及诊治。方法回顾分析虞城县妇幼保健院收治的人工流产后继发不孕患者75例的临床资料。结果人工流产后继发性不孕与人工流产次数无明显相关性,可能与人工流产的操作及术后保健有关。人工流产后继发不孕的原因最主要为输卵管堵塞,共39例,占52.00%;其他原因依次为子宫内膜纤维化、子宫内膜异位、抗精子抗体阳性和抗子宫内膜抗体阳性。经过治疗,输卵管堵塞导致的不孕患者的治愈率明显高于其他原因(P<0.05)。结论人工流产后继发不孕的原因有很多,严格控制人工流产的适应证是降低人工流产后继发不孕的重要手段,对不孕患者尽早诊断、尽早对症治疗是治疗的关键。
Objective To investigate the causes and diagnosis and treatment of secondary infertility after induced abortion. Methods The clinical data of 75 cases of infertility patients after induced abortion were retrospectively analyzed in Yucheng Maternal and Child Health Hospital. Results of post-abortion secondary infertility and the number of induced abortion no significant correlation may be related to abortion and postoperative care. The main causes of post-abortion secondary infertility were tubal blockage, a total of 39 cases, accounting for 52.00%; other reasons followed by endometrial fibrosis, endometriosis, anti-sperm antibody positive and anti-endometrial antibody positive. After treatment, the cure rate of infertility caused by tubal blockage was significantly higher than other reasons (P <0.05). Conclusions There are many reasons for secondary infertility after induced abortion. To strictly control the indications of induced abortion is an important measure to reduce secondary infertility after induced abortion. As soon as possible, infertility patients should be diagnosed as soon as possible, and symptomatic treatment as soon as possible is the key to treatment.