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目的对人工流产后继发的不孕症的原因和诊治方法进行探讨。方法收集本院2011年至2012年间收治的198例人工流产后继发不孕症的患者的临床资料进行分析。结果 198例人工流产后继发不孕症的患者中宫颈或宫腔粘连的患者为6例,盆腔粘连的患者为50例,输卵管阻塞90例,子宫内膜移位患者52例;其中人工流产1次的患者为101例,2次的患者为68例,3次的患者为17例,3次以上的患者为12例。结论人工流产后引发的输卵管阻塞及子宫内膜移位、盆腔粘连等是继发不孕症的主要原因,其中输卵管阻塞是临床上人工流产后继发不孕症较为常见的主要原因。临床医生进行人工流产术时应做到轻、柔、稳、准。一旦发现并发症,应积极的进行治疗,减少并发症的发生和发展。
Objective To investigate the causes and diagnosis and treatment of infertility secondary to induced abortion. Methods The clinical data of 198 cases of post-abortion secondary infertility admitted from 2011 to 2012 in our hospital were analyzed. Results In 198 cases of infertility secondary to infertility, there were 6 cases of cervical or uterine adhesions, 50 cases of pelvic adhesions, 90 cases of fallopian tube obstruction and 52 cases of endometrial transposition. Among them, induced abortion 1 There were 101 sub-patients, 68 in 68 patients, 17 in 3 patients and 12 in 3 patients. Conclusion Tubal obstruction and endometrial displacement caused by induced abortion, pelvic adhesions and other secondary causes of infertility are the main causes of tubal obstruction, which is the more common cause of secondary infertility after induced abortion. Clinicians should do light abortion, softness, stability and accuracy when making abortion. Once found complications, should be actively treated to reduce the incidence and development of complications.