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目的探讨人工流产后继发不孕症的原因及诊治。方法选取本院收治的97例人工流产后继发不孕症的患者,并对其临床资料进行回顾性分析。结果本组97例患者中7例患者由宫颈或宫腔粘连引起,25例患者因盆腔粘连引起,27例患者因子宫内膜移位引起,38例患者因输卵管阻塞引起;其中62例患者人工流产1次,18例患者人工流产2例,10例患者人工流产3次,7例患者人工流产3次以上。结论由于人工流产而引起的输卵管阻塞、盆腔粘连、子宫内膜移位、宫颈或宫腔粘连是导致继发不孕症发生的几项常见因素,此外,人工流产次数也会在一定程度上对继发不孕症的发生率造成影响;在给予患者人工流产术时医护人员要尽可能的做到准、轻、稳、柔。若有并发症发生,则应及时给予其针对性的治疗,从而预防并发症发生发展。
Objective To investigate the causes and diagnosis and treatment of secondary infertility after induced abortion. Methods A total of 97 cases of secondary infertility induced by induced abortion were selected and analyzed retrospectively. Results Of the 97 patients in this study, 7 were caused by cervical or uterine adhesions, 25 were caused by pelvic adhesions, 27 were caused by endometrial translocation, and 38 were caused by tubal occlusion; 62 of them were manual Abortion 1 times, 18 cases of induced abortion in 2 cases, 10 cases of induced abortion 3 times, 7 cases of induced abortion more than 3 times. Conclusions Tubal occlusion, pelvic adhesions, endometrial displacement, and cervical or uterine adhesions are several common causes of secondary infertility due to induced abortion. In addition, the number of induced abortions will also be to some extent The incidence of secondary infertility caused by the impact of abortion in giving patients with medical staff to be as accurate, light, steady and soft. If complications occur, they should be promptly given its targeted treatment, thereby preventing the occurrence of complications.