目的:了解吸刮宫术造成子宫粘连的原因,探讨子宫粘连的诊治方法。方法:回顾性分析2006年2月~2007年3月收治的37例子宫粘连患者临床资料。结果:闭经或经量减少、周期性腹痛、不孕均发生于吸刮宫术后,其中无痛人流吸宫术占29.7%(11/37),均经探针探查或宫腔镜检查证实存在子宫粘连。宫腔粘连以宫腔镜直视下分离为主,术中放置宫内节育器,术后给予人工周期治疗,总治愈率为89.2%;再粘连主要发生于重度子宫粘连患者。结论:吸刮宫术是造成子宫粘连的主要原因,无痛人流增加粘连的机会。宫腔镜诊治宫腔粘连方法简单、安全、有效。应重视子宫粘连的综合治疗,重点预防发生术后再粘连。 Objective: To understand the causes of uterine adhesions caused by aspiration curettage and to explore the diagnosis and treatment of uterine adhesions. Methods: The clinical data of 37 patients with uterine adhesions treated from February 2006 to March 2007 were retrospectively analyzed. Results: Amenorrhea or menstrual flow reduction, recurrent abdominal pain and infertility occurred after curettage, in which painless aspiration of uterus accounted for 29.7% (11/37), all of which were confirmed by probe or hysteroscopy Uterine adhesions. Intrauterine adhesions under the hysteroscopic direct vision separation, intraoperative IUD placement, postoperative artificial cycle treatment, the total cure rate was 89.2%; reunion mainly occurs in patients with severe uterine adhesions. Conclusion: Aspiration curettage is the main cause of uterine adhesions, painless to increase the chance of adhesion. Hysteroscopy diagnosis and treatment of intrauterine adhesions is simple, safe and effective. Should pay attention to the comprehensive treatment of uterine adhesions, focusing on preventing postoperative adhesions.