摘要
目的:观察人工流产中负压吸宫术与药物流产术对术后输卵管畅通性及子宫内膜厚度的影响。方法:选取本院收治的孕≤10周妇女作为观察对象,其中行药物流产98例(药物流产组),负压吸宫手术134例(手术流产组)。测定两组妇女流产后输卵管畅通性及子宫内膜厚度,观察宫腔/宫颈管粘连发生情况。结果:药物流产组流产后2周及首次月经后1周B超子宫内膜厚度值均高于手术流产组,流产后输卵管阻塞发生率(40.6%)高于手术流产组(14.6%),宫腔或宫颈粘连发生率(1.0%)低于手术流产组(9.7%)(均P<0.05)。结论:相比负压吸宫手术,药物流产终止早期妊娠更易引起输卵管阻塞,但对子宫内膜厚度的影响较小,术后宫腔/宫颈管粘连风险相对较低。
Objective：To observation of the influence of surgical abortion or medical abortion for termination of early pregnancy on fallopian tube patency and endometrial thickness.Methods：232 women with early pregnancy patients admitted to affiliated maternity hospital of Nanjing medical university were selected as subjects,of which 98 women experienced medical abortions（medical abortions group）and 134 women experienced surgical abortion（surgical abortion group）.After abortion,the fallopian tube patency and endometrial thickness of women in both groups were detected and compared,and incidence of uterine cavity and uterine cervical tube adhesions were observed in both groups.Results：The average endometrial thickness of women in surgical abortion group in 2 weeks after abortion and 1 week after the first menstruation were significantly higher than those of women in medical abortions group（P〈0.05）.The incidence of fallopian tube obstruction of women in surgical abortion group was 14.6%,which was significant lower than that of women（40.6%）in medical abortions group（P〈0.05）.The incidence of uterine cavity and uterine cervical adhesion was 1.0%（1/98）in surgical abortion group,which was significant lower than that（9.7%）in the medical abortion group（P〈0.05）.Conclusion：Compared with surgical abortion,medical abortion for terminating early pregnancy is more likely to cause occlusion of the fallopian tubes.However,surgical abortion maybe has greater bad effect on endometrial thickness,which means that postoperative endometrial recovery is slower,and the adhesions risk of uterine cavity or uterine cervical canal is higher.
作者
陈茜
徐青
陈艳
CHEN Qian;XU Qing;CHEN Yan(Affiliated Maternity Hospital of Nanjing Medical University,Nanjing Maternal and Child health Hospital,Jiangsu,210000)
出处
《中国计划生育学杂志》
2018年第7期600-602,共3页
Chinese Journal of Family Planning
关键词
子宫内膜厚度
输卵管畅通性
药物流产
人流手术
早孕
Endometrial thickness
Fallopian tube patency
Medical abortion
Surgical abortion
Early pregnancy
