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目的 :研究分析人工流产术后宫腔粘连的原因,为临床治疗提供依据。方法 :对我院2014年2月—2015年3月期间治疗的88例人工流产术后宫腔粘连患者的临床资料进行回顾性分析。结果 :人流次数≥3次43例(48.86%),剖宫产手术史12例,盆腔及生殖道感染者12例,术前阴道少量流血病史4例,以前有宫腔粘连病史5例,有混合病史12例。全部患者通过针对性治疗均痊愈出院。结论 :反复多次刮宫、人工流产手术操作是宫腔粘连的主要原因,感染为次要原因;手术操作人员心态、高超的技术能够有效降低宫腔粘连的出现,术前术后积极有效的抗感染能够预防宫腔粘连的出现。
Objective: To study the causes of intrauterine adhesions after induced abortion and provide the basis for clinical treatment. Methods: The clinical data of 88 patients with intrauterine adhesions after artificial abortion treated in our hospital from February 2014 to March 2015 were analyzed retrospectively. Results: There were 43 cases (48.86%) of third visit, 12 cases of cesarean section operation, 12 cases of pelvic and reproductive tract infection, 4 cases of preoperative vaginal bleeding, 5 cases of history of intrauterine adhesions, Mixed history of 12 cases. All patients were cured by targeted treatment were discharged. Conclusion: Repeated curettage and induced abortion are the main causes of intrauterine adhesions, and infection is the secondary cause. The attitude of surgical operators and superb techniques can effectively reduce the appearance of intrauterine adhesions, and the positive and effective anti-inflammatory Infection can prevent the appearance of intrauterine adhesions.