CAJ | 학술논문

目的：对人工流产术后发生闭经的原因进行病因学分析，并探讨人工流产后预防闭经对策。方法选取我院2013年4月～2014年4月进行人工流产术后发生闭经的患者94例为观察组，选同期入我院行人工流产术未发生并发症女性120例为对照组，对其临床资料进行回顾性分析，对两组患者一般资料进行统计学分析，对比两组患者的实验室检查结果。结果宫腔镜检查结果表明宫颈内口和宫颈黏连的约占总检查结果的一半，宫颈内未见异常的所占比例最高。观察组与对照组相比，有无排卵，雌二醇（E2）和促卵泡生长激素（FSH）水平及黄体生成素（LH）的水平均有统计学差异。结论卵巢功能，催乳素水平，丘脑功能水平均能显著影响人工流产术后发生闭经的概率，因此需注意手术前后调整催乳素水平，改善卵巢功能，和下丘脑状态。
목적：대인공유산술후발생폐경적원인진행병인학분석，병탐토인공유산후예방폐경대책。방법선취아원2013년4월～2014년4월진행인공유산술후발생폐경적환자94례위관찰조，선동기입아원행인공유산술미발생병발증녀성120례위대조조，대기림상자료진행회고성분석，대량조환자일반자료진행통계학분석，대비량조환자적실험실검사결과。결과궁강경검사결과표명궁경내구화궁경점련적약점총검사결과적일반，궁경내미견이상적소점비례최고。관찰조여대조조상비，유무배란，자이순（E2）화촉란포생장격소（FSH）수평급황체생성소（LH）적수평균유통계학차이。결론란소공능，최유소수평，구뇌공능수평균능현저영향인공유산술후발생폐경적개솔，인차수주의수술전후조정최유소수평，개선란소공능，화하구뇌상태。
Objective To analyze the risk factors amenorrhea after abortion, and discuss abortion prevention countermeasure amenorrhea. Methods A hospital in April 2013 May 2014 patients undergoing artificial abortion after 94 cases of amenorrhea observation group, the election period selected lines into my clinical abortion complications did not occur in the control group of women to 120 cases retrospectively analyzed two groups of patients with general information for statistical analysis and comparison, laboratory tests comparing two groups of patients.Results The results showed that hysteroscopy half of the total test results of the cervix and cervical synechia,no abnormal cervical highest proportion. Observation group compared with the control group of patients, ovulation, E2 and FSH levels and LH levels were statistically significant. Conclusion Ovarian function, prolactin levels, levels of hypothalamic function can significantly affect the probability of amenorrhea after artificial abortion, and therefore need to adjust prolactin levels before and after surgery, to improve ovarian function, and hypothalamus state.