输卵管梗阻性不孕与人工流产的相关性分析

Analysis of tubal obstructive infertility and abortion

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。方法回顾性分析180例有人工流产病史，行子宫输卵管通液治疗的继发不孕患者的临床资料。结果180例中，输卵管阻塞49例，输卵管通而不畅88例，复通后输卵管阻塞者再通率为65．31％，输卵管通而不畅者再通率为76．14％；≥2次人工流产妇女输卵管阻塞达22．78％，输卵管通而不畅达16．67％。结论人工流产对输卵管通畅性有很大的影响，应做好育龄妇女的保健工作，有效控制人工流产率，人工流产后应积极辅助运用缩宫剂及抗生素等药物以缩短流血时间及预防感染。

Objective To investigate the relationship between women fallopian tube obstruction after induced abortion and secondary infertility. Methods The abortion history of hysterectomy and tubal therapy in 180 patients with secondary infertility were retrospectively analyzed. Results Forty-nine cases of tubal obstruction, 88 cases of tubal passable; the recanalization rate after recanalization was 65.31%, tubal obstruction, tubal poor recanalization rate was 76.14% ; ≥2 abortion women tubal obstruction rate was 22. 78%, tubal accessibility was 16.67%. Conclusions Abortion has a great influence on tubal patency, the health care of women of childbearing age should be well and effectively control the rate of induced abortions, abortion should be actively assisted to use shrink palace agents and antibiotics to shorten the bleeding time and prevent infection.