宫腔镜诊治人工流产术后月经异常临床研究

Clinical analysis of diagnosis and therapy with abnormal menstruation after artificial abortions by hysteroscopy

目的：探讨宫腔镜对人工流产术后月经异常的诊治作用。方法：回顾性分析2008年1月~2009年12月205例因人工流产术后月经异常行宫腔镜诊治患者的临床资料。结果：人工流产术后月经异常患者主要表现为停经/闭经,占69.76%,人工流产术后月经异常主要由宫腔粘连和妊娠物残留引起,分别占81.95%、13.65%;人工流产次数越多（尤其≥3次）发生严重宫腔粘连的可能性越大（P〈0.05）;人工流产术后停经/闭经时间越长宫腔粘连越重（P〈0.05）。结论：宫腔镜检查是诊治人工流产后月经异常的有效方法。

Objective：to explore the significance of diagnosis and therapy of abnormal menstruation after artificial abortions by Hysteroscopy. Methods：to retrospectively analyze the clinical data of 205 cases with abnormal menstruation after artificial abortion which were diagnosed and treated by Hysteroscopy. Results ：the main manifestation of patients with abnormal menstruation after artificial abortion was menolipsis or amenorrhea which was 69.76% . Abnormal menstruation after artificial abortion was mainly caused by intrauterine adhesion and gestational residue which was 81.95% and 13.65% respectively. The more were made artificial abortions （ especially more than 3 times ）, the easier to happen was severe intrauterine adhesion （ P0.05 ） . The longer was the time of menolipsis or amenorrhea after artificial abortions , the more severe was intrauterine adhesion （ P0.05 ） . Conclusion ： Hysteroscopy is an effective method to diagnose and treat abnormal menstruation after artificial abortions.