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我院于1992~1995年剖宫产术后受孕施行人工流产术[简称人流术]共485例,其中252例系在本院剖宫产的,占同期剖宫产术789例的31.93%.1 临床资料1.1 年龄与孕周 年龄22~35岁之间,平均28岁.孕周在6~8周374例,8~10周占99例,12周以上12例.1.2 剖宫产距人流术时间 剖宫产术后3个月内受孕者2例,6个月内受孕57例,1~2年者279例,2~3年者95例,3~5年42例,5年以上10例.其中1~2年279例,占57.53%.1.3 剖宫产手术方式 子宫下段剖宫产281例,子宫下段横切口37例,腹膜外剖宫产64例,古典式剖宫产6例.其余手术方式不详.1.4 人流时情况 子宫前倾位259例,后倾位126例,子宫平位84例,子宫与腹壁粘连16例.宫腔8~10cm346例,选用7号吸管,10~12cm127例用8号吸管,12cm以上12例,上午宫腔内置入12~16号导尿管,于当天下午行钳刮术.术时出血量<20~3oml 459例占94.63%,30~80ml占5.36%,平均30ml左右.
In our hospital from 1992 to 1995 cesarean section after pregnancy, abortion (abortion) a total of 485 cases, of which 252 cases of cesarean section in our hospital, accounting for the same period cesarean section 789 cases of 31.93%. 1 Clinical data 1.1 Age and gestational age between 22 to 35 years old, an average of 28 years old. Pregnancy at 6 to 8 weeks 374 cases, 8 to 10 weeks accounted for 99 cases, 12 weeks and 12 cases .1.2 Cesarean section from the flow There were 2 cases of conception within 3 months after cesarean section, 57 cases of conception within 6 months, 279 cases of 1 ~ 2 years, 95 cases of 2 ~ 3 years, 42 cases of 3 ~ 5 years and over 5 years 10 cases, of which 1 to 2 years in 279 cases, accounting for 57.53% .1.3 cesarean section surgical approach 281 cases of uterine cesarean section, 37 cases of transverse uterine incision, extraperitoneal cesarean section in 64 cases, classical cesarean section 6 Cases of other surgical methods is unknown .1.4 flow when the situation anterior uterus 259 cases, 126 after the dumping, the uterus in 84 cases, uterus and abdominal adhesions in 16 cases .Uterine cavity 8 ~ 10cm346 cases, the choice of 7 straw, 10 ~ 12cm127 cases with No. 8 straw, 12cm above 12 cases, the morning intrauterine built into the No. 12 ~ 16 catheterization in the afternoon line clamp curettage .Occupation of bleeding <20 ~ 3oml 459 cases accounted for 94.63%, 30 ~ 80ml accounted for 5.36%, an average of about 30ml.