未产妇人工流产术致继发性不孕198例临床分析

198 cases clinical analyses of the secondary infertility after the abortion surgery on nulliparas

目的:探讨人工流产术后继发不孕的主要原因。方法:对人工流产术后继发不孕198例和同期原发不孕237例行输卵管通液术以及沙眼衣原体(CT)、解脲支原体(UU)监测。结果:继发不孕组有64例(32.32%)有不同程度的输卵管阻塞,而同期原发不孕组有43例(18.14%),两组比较差异有统计学意义(P<0.01)。结论:输卵管阻塞是继发不孕的主要原因,流产感染与继发不孕的发生有一定的相关性。未产妇行人工流产存在一定的不安全性。

Objective. To explore the main reason of the secondary infertility after the abortion surgery. Methods： Execute the flu- id passing salpinx technique, chlamydia trachomaris monitor and Ureaplasma urealyticum monitor to the 198 women who are secondary infer- tility after the abortion surgery and at the same time to the 237 women who are primary infertility after that. Results. The group of secondary infertility has 64 examples （32. 32% ） , but at the same time the other group of primary infertility has 43 examples （ 18. 14% ） to have the salpingemphraxis. The infertility because of salpingemphraxis between two groups have the remarkable difference （P 〈 0. 01 ） , Conclusion. Salpingemphraxis is the main reason of the secondary infertility. The infects after abortion and the occurrence of the secondary infertility have the certain relativity. Executing abortion to nuhipara has certain insecurity.