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目的研究分析人工流产对继发性不孕症的临床影响。方法选取我院于2009年7月至2011年2月收治的50例进行人工流产的患者以及50例来我院进行常规检查且未进行人工流产的女性,将人工流产患者分为治疗组,未进行人工流产者分为对照组,对比分析两组患者的发生不孕症的情况,观察人工流产后继发不孕症患者的病因。结果治疗组患者发生不孕症的几率为60%,对照组未发现不孕者,两组对比P<0.01,具有统计学意义。治疗组发生继发不孕的病因主要有子宫内膜异位(22%),宫颈宫腔粘连(8%),输卵管阻塞(10%),子宫内膜纤维化(14%),抗子宫内膜抗体阳性(4%),抗精子抗体阳性(2%),共治愈24例,总治愈率为48%。结论人工流产是导致继发性不孕的主要原因,与未流产女性相比,人工流产不孕的几率高出很多,且治愈也较难,应积极宣传,做好避孕措施,减少流产机率。
Objective To study the clinical effect of induced abortion on secondary infertility. Methods Fifty cases of induced abortion in our hospital from July 2009 to February 2011 were selected and 50 cases of women who did not undergo artificial abortion in our hospital were divided into treatment group Artificial abortion were divided into control group, comparative analysis of two groups of patients with infertility, observe the cause of secondary infertility after induced abortion. Results The incidence of infertility was 60% in the treatment group and no infertility was found in the control group, with a significant difference between the two groups (P <0.01). The main causes of secondary infertility in the treatment group were endometriosis (22%), cervical intrauterine adhesions (8%), tubal occlusion (10%), endometrial fibrosis (14%), Membrane antibody positive (4%), anti-sperm antibody positive (2%), a total of 24 cases were cured, the total cure rate was 48%. Conclusions Induced abortion is the main reason leading to secondary infertility. Compared with women without abortion, the chance of induced abortion is much higher and it is harder to cure. It should be actively publicized and contraceptive measures should be taken to reduce the chances of miscarriage.