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目的探讨计划生育手术致子宫穿孔的高危因素和防治措施。方法对近年来由于计划生育手术所致的28例子宫穿孔患者的临床资料进行回顾性分析。结果哺乳期及长期服避孕药(13例)、子宫过度倾屈(9例)、瘢痕子宫(5例)、多次刮宫(1例)是引起子宫穿孔的高危因素。结论行计划生育手术应高度重视易引起子宫穿孔的高危因素,采取恰当的预防措施,以最大限度地避免子宫穿孔的发生。
Objective To investigate the risk factors of uterine perforation caused by family planning operation and the preventive measures. Methods The clinical data of 28 cases of uterine perforation caused by family planning operation in recent years were analyzed retrospectively. Results Lactation and long-term oral contraceptives (13 cases), uterine hyperextension (9 cases), scarring uterus (5 cases) and multiple curettage (1 case) were risk factors for uterine perforation. Conclusion Family planning operation should pay high attention to the high risk factors that cause uterine perforation and take proper precautionary measures to avoid the occurrence of uterine perforation to the maximum.