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目的:探讨反复早期自然流产(ERSA)的相关发病因素。方法:对2007年1月~2010年2月于贵港市妇幼保健院生殖门诊就诊的71例ERSA患者进行内分泌、遗传、感染、解剖、男方及免疫6个方面的系统检查。结果:免疫因素是ERSA最为重要的发病因素,占67.6%(48/71),其中I型患者最多;非免疫因素占32.4%(23/71),其中内分泌因素为非免疫因素中最为重要的因素,占非免疫因素的29.5%。结论:ERSA病因十分复杂,免疫因素是其重要的病因,对此类患者进行系统筛查具有十分重要的临床意义。
Objective: To investigate the related risk factors of recurrent spontaneous abortion (ERSA). Methods: From January 2007 to February 2010, 71 ERSA patients in the Reproductive Clinic of Guigang Maternal and Child Health Hospital were systematically screened for endocrinology, heredity, infection, anatomy, manhood and immunization. Results: The most important risk factors of ERSA were 67.1% (48/71), of which the most type I patients were non-immune factors (32.4%, 23/71). The most important one was endocrine factors, which were the most important non-immune factors Factors, accounting for 29.5% of non-immune factors. Conclusion: The etiology of ERSA is very complicated, and immune factors are the important etiological factors. It is of great clinical significance to systematically screen these patients.