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目的探讨人工流产后不孕症发生的原因及诊治措施。方法回顾性分析115例患者的临床资料。结果本组115例人工流产继发不孕症的原因依次为输卵管因素60例,其中单侧输卵管阻塞15例,单侧不全阻塞20例,双侧输卵管阻塞15例,双侧不全阻塞10例;盆腔粘连32例;子宫内膜异位症21例;宫颈、宫腔粘连2例。不孕症发生率与人工流产次数无明显相关性,115例人工流产继发不孕症中,1次者65例,2次者40例,3次者7例,4次及以上者3例。1次性人工流产致不孕症者,可能与人工流产操作规范及技术差异、术后健康保健有关。结论为减少人工流产术后继发不孕症的发病率,应加强婚前性知识及避孕为主的宣传教育;严格掌握人工流产适应证、禁忌证,把好手术质量关,严格无菌观念,术后做好避孕指导和卫生宣教,减少人工流产后造成的继发不孕。
Objective To investigate the causes of infertility after induced abortion and the diagnosis and treatment measures. Methods The clinical data of 115 patients were retrospectively analyzed. Results The causes of infertility secondary to artificial abortion were 60 cases of tubal factors, including unilateral tubal occlusion in 15 cases, unilateral unilateral obstruction in 20 cases, bilateral tubal occlusion in 15 cases and bilateral unilateral obstruction in 10 cases. Pelvic adhesions in 32 cases; 21 cases of endometriosis; cervical and uterine adhesions in 2 cases. The incidence of infertility and the number of induced abortion no significant correlation, 115 cases of induced abortion secondary infertility, 1 case of 65 cases, 2 times in 40 cases, 3 times in 7 cases, 4 times and 3 cases . One-time induced abortion induced infertility may be abortion practices and technical differences, postoperative health care. Conclusion To reduce the incidence of secondary infertility after induced abortion, we should strengthen premarital sexual knowledge and contraceptive-based publicity and education; strict abortion indications, contraindications, the good surgical quality, strict sterile concept, Good contraceptive guidance and health education to reduce the secondary infertility caused by induced abortion.