人工流产术后生殖道感染

Post-abortion genital tract infection

流产后生殖道感染是人工流产手术的主要并发症之一,由外源性或内源性致病微生物引起,可导致继发不孕、慢性盆腔痛、异位妊娠、不良妊娠结局等。流产后感染是指妇女流产后2周内由于致病菌的感染而发生的盆腔炎性疾病。治疗原则以针对病原体进行抗菌药物治疗为主,必要时行手术治疗。建议人工流产手术前常规进行妇科检查和阴道分泌物检查,高危人群还应该筛查沙眼衣原体、淋病奈瑟菌,检测阳性者给予规范化治疗。同时,人工流产手术前建议合理的规范化预防性应用抗生素,可以降低人工流产手术后感染的发生。

Post-abortion genital tract infection is one of the main complications after induced abortion,which is caused by exogenous or endogenous pathogenic microorganisms,and can lead to secondary infertility,chronic pelvic pain,ectopic pregnancy,and other adverse pregnancy outcomes.Post-abortion infection refers to the pelvic inflammatory disease that occurs within 2 weeks caused by pathogen after artificial abortion.The therapeutic principle is to treat pathogen with antimicrobial agents,and surgery if necessary.It is suggested that routine gynecological examination and vaginal discharge examination should be carried out before induced abortion.High-risk population should also be screened for Chlamydia trachomatis and Neisseria gonorrhoeae,and those with positive results should be given standardized treatment.At the same time,reasonable standardized prophylactic antibiotics used before artificial abortion surgery is recommended to reduce the incidence of post-abortion infections.