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目的探讨药物流产后继发不孕的原因,为育龄妇女提供正确的孕育指导。方法 120例门诊就诊的育龄妇女随机分为两组,其中60例为有药物流产史组,另60例无流产史为对照组。对比分析两组患者发生不孕的情况,寻找药物流产后继发不孕症的病因。结果有药物流产史组发生继发不孕者33例,发生几率为55%;对照组发现不孕者3例,发生率为5%。两组对比差异有统计学意义(P<0.01)。药物流产史组发生继发不孕的病因主要有输卵管梗阻(85%)、宫腔粘连(12%)及其他因素(3%)。结论药物流产导致继发性不孕发生率较无流产史者显著升高,且治愈率低,应积极做好育龄妇女健康的孕育知识宣传,降低药物流产几率。
Objective To investigate the causes of secondary infertility after medical abortion and provide correct guidance for pregnant women of childbearing age. Methods 120 cases of outpatient women of childbearing age were randomly divided into two groups, of which 60 cases of medical abortion history group, another 60 cases of non-abortion history as the control group. Comparative analysis of two groups of patients with infertility, to find the cause of secondary infertility after medical abortion. The results of medical abortion history of secondary infertility occurred in 33 cases, the incidence of 55%; control group found infertility in 3 cases, the incidence was 5%. The difference between the two groups was statistically significant (P <0.01). The main causes of secondary infertility in medical abortion history are tubal obstruction (85%), intrauterine adhesions (12%) and other factors (3%). Conclusions The incidence of secondary infertility caused by medical abortion is significantly higher than that without abortion, and the cure rate is low. Knowledge of pregnant women of childbearing age should be proactively advocated and the chance of medical abortion should be reduced.