输卵管梗阻性不孕和人流相关性分析.docVIP

输卵管梗阻性不孕和人流相关性分析 　　【中图分类号】R711.6【文献标识码】A【文章编号】1672－3783(2011)04－0078－02 　　【摘要】目的： 探讨妇女行人工流产后输卵管梗阻与继发不孕的关系。方法 回顾继发不孕患者108例临床资料分析，分析人流术与继发不孕的关系，结果在108例继发不孕患者中，术后不孕症发生的相关原因为：月经失调21例，输卵管阻塞40例，盆腔炎27例，子宫内膜异位症17例，宫颈管粘连2例，宫腔粘连1例。人流术次数≥2次及在非正规医院、诊所行人工流产发生输卵管阻塞和盆腔炎的风险增加。结论 人工流产术后产生的各种?发症如输卵管阻塞、盆腔炎等是造成女性继发不孕的重要诱因，发生继发不孕的风险与人流次数成正比，在非正规医院、诊所行人工流产继发不孕危险增高。? 　　【关键词】人工流产 输卵管梗阻 继发不孕? 　　【Abstract】Objective To explore womens fallopian tube obstruction after induced abortion and secondary infertility relationship. Methods 108 cases of secondary infertility in patients with clinical data analysis, analysis of induced abortion and secondary infertility relationship, resulting in 108 cases of secondary infertility patients, surgery-related causes of infertility occurs as follows: 21 cases of menstrual disorders , 40 cases of tubal blockage, pelvic inflammatory disease in 27 cases, endometriosis in 17 cases, cervical adhesions in 2 cases, intrauterine adhesions in 1 case. ≥ 2 times the number of induced abortion and in non-formal hospitals, clinics and tubal obstruction induced abortion occurred, and an increased risk of pelvic inflammatory disease. Conclusions resulting from abortion complications of surgery such as tubal obstruction, pelvic inflammatory disease and others are the result of the important causes of secondary infertility of women, the risk of secondary infertility occurs with frequency proportional to the flow of people in a non-formal hospitals, clinics, OK increased risk of abortion with secondary infertility? 　　【Keywords】abortion; tubal obstruction; secondary infertility 　　输卵管在人类生殖过程中起着重要作用，因为精子运送、获能、卵子摄取、受精，受精卵早期发育均由输卵管或在输卵管内完成，输卵管病变中以炎症引起阻塞或通而不畅占首位。近年来，由于一些人性观念改变，未婚先孕、人工流产、性传播疾病增加，引起输卵管粘连、阻塞和不畅者增多。? 　　1 临床资料? 　　我院在人工流产后有继发不孕患者108例中，月经失调21例，占19.4%；输卵管阻塞40例，占37%；盆腔炎27例，占25%；子宫内膜异位症17例，占15.7%；宫颈管粘连2例，占1.8%；宫腔粘连1例，占0.9%，见表1。? 　　2 输卵管炎症病因? 　　①产后、流产后、剖宫产后细菌通过子宫内创面或胎盘剥离面或胎盘，胎膜残留等涉及输卵管而致炎症。②邻近器官炎症蔓延，如兰尾炎、腹膜炎等。③经期性生活或不洁性交。④妇产手术操作如放取节育器、人工流产和药物流产后，各种宫腔操作以及下腹部手术均有炎症涉及