摘要
目的探讨人工流产后宫腔粘连的危险因素及宫腔镜手术疗效。方法采取回顾性分析的方法,收集2014年1月—2016年10月本院收治的80例人工流产后宫腔粘连患者作为粘连组,选取同时期人工流产后无粘连患者80例作为非粘连组,比较两组患者的一般资料,通过多因素Logistic分析影响宫腔粘连的因素;并分析粘连组患者的宫腔镜手术治疗效果。结果粘连组孕次、稽留流产次数、刮宫次数、有无痛人流史比例均明显高于非粘连组;多因素Logistic回归分析显示,稽留流产次数、刮宫次数、无痛人流史为影响宫腔粘连发生的独立危险因素(P<0.05);轻度宫腔粘连总有效率明显高于重度宫腔粘连(P<0.05)。结论刮宫次数、无痛人流以及稽留流产次数为人工流产后宫腔粘连的危险因素,治疗效果与粘连程度有关,宫腔镜下宫腔粘连分离术后给予雌激素、Foley球囊导尿管、节育器和可吸收医用膜的联合治疗有助于减少再粘连发生风险,值得临床重视。
Objective To explore the risk factors of intrauterine adhesions after abortion and the effect of hysteroscopic surgery. Methods Take retrospective analysis method,collected 80 cases of patients suffered intrauterine adhesions after artificial abortion as adhesion group,another 80 patients without adhesion after artificial abortion were selected as the non-adhesion group,and all the patients got treatment in our hospital during January 2014 and December 2016. Compared the general data of two groups of patients,and analyzed the influencing factors of intrauterine adhesions by Logistic multivariate analysis and the effect of hysteroscopic surgical treatment for patients in adhesion groups. Results The times of pregnancy,missed abortion,curettage times,the proportion of painless artificial abortion history of uterine cavity adhesion group were significantly higher than non-uterine cavity adhesions group（ P〈0. 05）. Multivariate Logistic regression analysis indicated that number of missed abortion,curettage,painless artificial abortion history were independent risk factors for uterine cavity adhesions（ P〈0.05）. The total effective rate of mild uterine cavity adhesions was significantly higher than that of severe uterine cavity adhesions（ P〈0.05）. Conclusions The number of missed abortion,curettage,and painless artificial abortion history were independent risk factors for intrauterine adhesion,and the effect of treatment is related to the degree of adhesion. The combination therapy of estrogen,Foley balloon catheter,IUD and absorbable membrane can help reduce the risk of re-adhesion after hysteroscopic separation of intrauterine adhesions,it is worthy of clinical attention.
作者
陈红
CHEN Hong(The Second People＇s Hospital of Anqing,Anqing,Anhui,246000,China)
出处
《齐齐哈尔医学院学报》
2018年第13期1534-1536,共3页
Journal of Qiqihar Medical University
关键词
人工流产
宫腔粘连
危险因素
预后
Artificial abortion
Intrauterine adhesion
Risk factors
Prognosis
