人工流产术后输卵管堵塞继发不孕的临床研究与感染分析  

Clinical study on secondary infertility following tubal blockage after artificial abortion and analysis on infections

作　　者：金筱筱[1] 郑灵芝[1] 张紫娟[1] 

机构地区：[1]台州医院妇产科,浙江临海317000

出　　处：《中华医院感染学杂志》2015年第8期1879-1881,共3页Chinese Journal of Nosocomiology

基　　金：浙江省卫生计生委科研基金资助项目(2014KYB366)

摘　　要：目的探讨人工流产术后输卵管堵塞继发不孕的发病因素及检查宫颈分泌物的病原菌分布,以提高对人工流产术后输卵管堵塞继发不孕的认识,降低感染率。方法选取2011年6月-2013年4月妇科收治的86例输卵管堵塞继发不孕患者作为观察组,选取同期收治的输卵管堵塞原发性不孕患者84例作为对照组;对两组患者进行问卷调查,培养宫颈分泌物检测病原菌分布,采用SPSS 18.0软件进行统计分析。结果 170份宫颈分泌物检出96株病原菌,其中革兰阴性菌66株占68.75%,革兰阳性菌30株,占31.25%;观察组性伴侣数≥2与初次性生活年龄<20岁所占比例均较对照组高,差异有统计学意义(P<0.05);人工流产次数≥2次输卵管堵塞率42.86%,明显高于人工流产的24.14%,差异有统计学意义(P<0.05)。结论人工流产术对输卵管的通畅度具有不同程度的影响,人工流产次数越多,而发生输卵管堵塞概率越大,故应采取有效的避孕措施,减少或防止人工流产。OBJECTIVE To investigate the pathogenic factors for secondary infertility following tubal blockage after artificial abortion and the distribution of pathogens in cervical secretions,so as to raise awareness of secondary infertility following tubal blockage after artificial abortion and reduce infection rates.METHODS Totally 86 patients with secondary infertility following tubal blockage during Jun.2011-Apr.2013 were selected as the observation group and 84 patients with primary infertility with tubal blockage admitted and treated during the same period were selected as the control group.Two groups of patients were surveyed by questionnaires.Cervical secretions were cultured to observe the distribution of pathogens.The software SPSS18.0was used for statistical analysis.RESULTS Totally 96 pathogens were detected from 170 samples of cervical secretions,including 66gram-negative bacteria accounting for 68.75% and 30gram-positive bacteria accounting for 31.25%.The proportion of patients with 2or more sexual partners and patients with age of first-time sex20-year-old was significantly higher in the observation group compared with the control group（P〈0.05）.The tubal blockage rate in patients with the number of artificial abortions≥ 2times was 42.86%,significantly higher than 24.14%in patients with 1artificial abortion（P〈0.05）.CONCLUSION Artificial abortion has different degrees of impact on tubal patency,as the more the number of artificial abortions,the greater the chance of tubal blockage occurs.Therefore,effective contraceptive measures should be taken to reduce or prevent artificial abortions.

关 键 词：人工流产术 输卵管堵塞 继发不孕 感染 

分 类 号：R719.3[医药卫生—妇产科学]