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目的探讨人工流产后继发不孕的原因及治疗。方法回顾分析82例患者的临床资料。结论人工流产术后不孕的主要原因是输卵管阻塞、盆腔粘连及子宫内膜异位症等因素。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及禁忌证,强化无菌操作观念,扩张宫颈按号顺序进行,正确使用负压以避免过度搔刮宫腔,术后做好避孕指导及卫生宣教,可减少术后不孕症的发病率。
Objective To investigate the causes and treatment of secondary infertility after induced abortion. Methods The clinical data of 82 patients were retrospectively analyzed. Conclusion The main causes of infertility after induced abortion are tubal occlusion, pelvic adhesions and endometriosis. Strengthening of premarital sex and contraceptive advocacy education, strict abortion indications and contraindications, and strengthen the concept of sterile operation, expansion of the cervix by order, the correct use of negative pressure to avoid excessive scratching the uterine cavity, do a good postoperative Contraceptive guidance and health education, can reduce the incidence of postoperative infertility.