分析人工流产后继发不孕症的原因及临床诊治措施  

Analyze the Causes of Secondary Infertility after Induced Abortion and Its Clinical Diagnosis and Treatment Measures

作　　者：魏天舒[1] 李玉华[1] WEI Tian-shu;LI Yu-hua(Jilin Central Hospital,Jilin,Jilin 132011)

机构地区：[1]吉林市中心医院,吉林吉林132011

出　　处：《智慧健康》2020年第7期189-190,共2页Smart Healthcare

摘　　要：目的探究分析人工流产后继发不孕症的原因及临床诊治措施。方法该实验选取2017年3月至2019年5月本院妇产科接受治疗,经检查确诊为人工流产后继发不孕症患者共50例作为本次实验的研究对象。按照回顾性分析方式,对这50例患者的诊治方式以及相关临床症状进行分析。结果造成人工流产后继发不孕症的最主要因素之一是输卵管阻塞,占据54.00%,其次是盆腔粘连,而影响因素最少是宫腔、宫颈粘连首次人工流产、二次人工流产以及三次或以上人工流产,所占比例分别为30.00%、38.00%、32.00%。实行手术治疗前患者出现输卵管阻塞共40条,其中25条完全阻塞,15条不完全阻塞;治疗后输卵管实现再通率为90.00%。结论在医院妇产科内,唯有确保在整个治疗过程中处于无菌操作环境,同时还要坚守轻、准原则,才能够避免患者人工流产后继发不孕症的发生,降低手术治疗对患者带来的创伤。并且针对患者自身则需要增强婚前性知识以及避孕方式的宣教,从而减少此因素导致不孕症的发生率和人工流产发生率。Objective To explore and analyze the causes and clinical diagnosis and treatment measures of secondary infertility after induced abortion.Methods In this experiment,50 patients with secondary infertility after induced abortion were selected as the research subjects from March 2017 to May 2019.According to the retrospective analysis method,the diagnosis and treatment methods and related clinical symptoms of these 50 patients were analyzed.Results Fallopian tube obstruction is one of the most important factors of secondary infertility after induced abortion,accounting for 54.00%,followed by pelvic adhesion.The least influential factors were uterine cavity and cervical adhesion.The proportions of first induced abortion,second induced abortion and three or more induced abortions were 30.00%,38.00%,32.00%,respectively.There were 40 cases of tubal obstruction before surgical treatment,of which 25 cases were completely obstructed and 15 cases were not completely obstructed.The recanalization rate of fallopian tubes after treatment was 90.00%.Conclusion In the hospital obstetrics and gynecology department,only by ensuring the aseptic operation environment in the whole treatment process and sticking to the principle of light and accurate,can the occurrence of secondary infertility after induced abortion be avoided and the trauma of surgical treatment to patients be reduced.And for patients themselves,it is necessary to strengthen the education of premarital sex knowledge and contraceptive methods,so as to reduce the incidence of infertility and induced abortion caused by this factor.

关 键 词：人工流产 继发不孕症 原因 诊治措施 

分 类 号：R169.42[医药卫生—公共卫生与预防医学] R711.6