摘要
目的:分析人工流产术后并发闭经患者的临床特点。方法:回顾性分析我院近5年来人工流产术后并发闭经患者的临床资料,记录性激素检查情况、宫腔镜检查结果、以及诊断性刮宫病理学检查结果,同时记录其治疗预后。结果:5年来我院共发生人流后闭经37例,占总人流患者的1.4%。发生距人流时间2～16个月,闭经时间2～5个月。人流次数越多,越易发生(χ2=13.440,P=0.001);是否生产和术后闭经无关(χ2=0.037,P=0.847)。性激素检查显示卵巢早衰者或下丘脑功能失调性闭经共8例(21.6%)。宫腔镜检查显示宫颈内口粘连11例(29.7%),宫腔粘连18例(48.6%)。刮出物中有炎性细胞浸润者占64.0%。经过积极治疗,35例患者恢复周期,另2例效果不佳。结论:人工流产术可能导致一定的术后闭经并发症发生;宫颈内口和宫腔粘连以及性激素异常是造成术后闭经的主要原因,而炎症反应在其中也可能起到一定的作用;人工流产术后闭经治疗预后尚可。
Objective：To analyze the clinical characteristics of patients with amenorrhea after induced abortion.Methods：The patients with amenorrhea after induced abortion in our hospital of the past 5 years were analyzed retrospectively.Some characteristics of the patients were recorded,including sex hormone level,results of hysteroscopy,diagnostic curettage pathological Results,as well as prognosis.Results：A total of 37 patients（1.4%） suffered amenorrhea 2 to 16 months after induced abortion,which sustained for 2 to 5 months.The occurrence of amenorrhea was positively related to the frequency of induced abortion（χ2 = 13.440,P = 0.001）,but had nothing to do with delivery（χ2 = 0.037,P = 0.847）.Sex hormone level revealed premature ovarian failure or hypothalamic amenorrhea dysfunction in 8 patients（21.6%）.Hysteroscopic examination revealed 11 patients had cervical adhesions（29.7%）,and 18 patients had intrauterine adhesions（48.6%）.Inflammatory cells accounted for 64.0% in all scrapings.After active treatment,35 patients resumed menstrual cycle,but the other two patients found it ineffective.Conclusion：The induced abortion may lead to complication like postoperative amenorrhea.Cervical or uterine adhesions,and abnormal sex hormones are the main reasons for amenorrhea,and inflammatory response may also play a role in it.Postoperative amenorrhea may have a good prognosis after treatment.
出处
《重庆医科大学学报》
CAS
CSCD
北大核心
2011年第1期119-120,共2页
Journal of Chongqing Medical University
关键词
人工流产术
闭经
并发症
induced abortion
amenorrhea
complication
