摘要
目的:探讨人工流产术与药物流产术两种人工流产方式流产后继发不孕的原因及诊治方法。方法:对76例人工流产术或药物流产后发生不孕的患者采用宫腹腔镜联合下直视检查并对症治疗。结果:76例患者中盆腔炎性疾病59例,占77.6%,其中输卵管不同程度梗阻40例。既往有流产并发症的患者输卵管梗阻率高。经宫腹腔镜联合治疗后,36患者一侧或双侧输卵管通畅。结论:输卵管梗阻是流产后继发不孕的主要原因;流产并发症对再次妊娠存在不良影响;宫腹腔镜联合是目前检查及治疗继发不孕的良好方法。
Aim： To explore the main reason and treatment methods of the secondary infertility after different ways of abortion.Methods： 76 secondary infertile patients,after induced or medical abortion,were treated by laparoscopic and hysteroscopy combined examination and symptomatic treatment.Results： 59 examples have pelvic inflammatory disease,among 76 patients,accounting for 77.6%,and 40 examples have the different degree salpingemphrxis.The patients with abortion complications has high rate of salpingemphrxis.After the combined treatment of the laparoscopic and hysteroscopy,there are 36 patients with unilateral or bilateral Fallopian tubes unobstructed.Conclusion：Salpingemphraxis、Pelvic inflammatory disease is the main reason of the secondary infertility;Abortion complications has certain insecurity to subsequent pregnancy;Combined with the laparoscopy and hysteroscopy is a good method for investigation and treatment nowadays.
出处
《暨南大学学报（自然科学与医学版）》
CAS
CSCD
北大核心
2011年第2期241-243,共3页
Journal of Jinan University(Natural Science & Medicine Edition)
基金
广东省科技项目(2010A020507001)
关键词
药物流产
人工流产
继发不孕
输卵管梗阻
medical abortion
induced abortion
secondary infertility
salpingemphraxis
