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目的探讨人工流产对输卵管通畅性的影响。方法回顾分析363例有人工流产病史,行子宫输卵管通液治疗的继发不孕患者。结果输卵管阻塞94例,输卵管通而不畅126例,经复通后,输卵管阻塞者再通率48.9%,输卵管通而不畅者再通率74.6%;≥2次人工流产妇女输卵管阻塞达16.5%,输卵管通而不畅达21.8%。结论人工流产对输卵管通畅性有很大的影响,应做好育龄妇女的保健工作,有效控制人工流产率,人工流产后应积极辅助运用缩宫剂及抗生素等药物以缩短流血时间及预防感染。
Objective To investigate the effect of induced abortion on tubal patency. Methods A retrospective analysis of 363 cases of artificial abortion history of uterine tubal fluid treatment of infertility patients. Results 94 cases of tubal obstruction, tubal obstruction and 126 cases of poor, after recanalization, tubal obstruction by the recanalization rate of 48.9%, tubal pass and failure of the recanalization rate of 74.6%; ≥ 2 abortion tubal obstruction of women reached 16.5 %, Tubal pass without reaching 21.8%. Conclusions Induced abortion has a great influence on tubal patency. Health care of women of childbearing age should be well controlled and the rate of induced abortion should be effectively controlled. After abortion, drugs such as oxytocin and antibiotics should be actively used to shorten the bleeding time and prevent infection.