人工流产等因素与输卵管性不孕关系的临床研究  

Clinical Study on Induced Abortion and Tubal Infertility

作　　者：杨泽星[1] 赵富鲜[1] 邓春燕[1] 王梦月[1] 

机构地区：[1]云南省第二人民医院,云南昆明650021

出　　处：《昆明医科大学学报》2014年第6期125-128,共4页Journal of Kunming Medical University

摘　　要：目的探讨人工流产及不孕年限、盆腔炎史、阑尾炎史、输卵管妊娠史和沙眼衣原体感染等是否为输卵管性不孕的危险因素.方法采用病例对照研究方法,调查对象分为双侧输卵管阻塞不孕者(病例组154例),双侧输卵管通畅不孕者(对照组170例),面对面调查收集资料,内容包括年龄、教育程度、职业、不孕年限、人工流产史、月经史、妊娠史、盆腔炎病史、阑尾炎病史等,资料单因素及采用非条件Logistic回归分析.结果单因素分析显示,病例组有人工流产史94例(61.0%),对照组有人工流产史95例(55.9%),2组间差异无统计学意义(P>0.05).不孕年限、盆腔炎史、阑尾炎史、输卵管妊娠史和沙眼衣原体感染所占比例比较,2组间差异有统计学意义(P<0.05).非条件Logistic回归分析盆腔炎史(OR:4.378)、输卵管妊娠史(OR:3.026)、沙眼衣原体感染(OR:5.041)、阑尾炎史(OR:4.912)是输卵管性不孕的危险因素.人工流产史与盆腔感染有关(OR:1.534).结论人工流产不增加输卵管性不孕的危险性,但应避免人工流产并发症如盆腔炎以及输卵管妊娠、沙眼衣原体感染等的发生,以减少输卵管不孕.Objective To explore if induced abortion,the years of infertility,the history of pelvic inflammation,the history of appendicitis,the history of salpingocyesis,the infection rate of Chlamydia and so on increase the risk of tubal infertility.Methods A case-control study was conducted.Infertile women with bilateral fallopian tube obstruction were selected in the case group.Infertile women with bilateral tubal patency were enrolled in the control group.All the women were asked to finish a uniform questionnaire,including years,educational status,occupation,the years of infertility,induced abortion,menstrual history,pregnancy,the history of pelvic inflammation,the history of appendicitis and so on.The data were analyzed with single factor and non-conditional logistic regression analysis.Results Single factor analysis displayed that there were no significant difference in the history of induced abortion between the case group and the control group （P＞0.05）.There was significant difference in the years of infertility,the history of pelvic inflammation,the history of appendicitis,the history of salpingocyesis and the infection rate of Chlamydia between two group （P＜0.05）.Non-conditional logistic regression analysis showed that the risk factors of tubal infertility included the history of pelvic inflammation （OR：4.378）,the history of salpingocyesis （OR：3.026）,the infection rate of Chlamydia （OR：5.041）,the history of appendicitis （OR：4.912）.The history induced abortion was relate to pelvic inflammation.Conclusions Induced abortion does not increase the risk of tubal infertility.The risk factors of tubal infertility include：the history of pelvic inflammation,the history of salpingocyesis,the infection rate of Chlamydia,the history of appendicitis.

关 键 词：人工流产 输卵管性不孕 子宫输卵管造影 危险因素 

分 类 号：R714.21[医药卫生—妇产科学]