CAJ | 학술논문

【目的】分析复发性流产（RS A ）、宫腔手术操作对宫腔粘连的影响。【方法】对106例RS A患者的临床资料进行回顾性分析。统计其流产次数、宫腔手术操作次数，超声结合宫腔镜检查诊断宫腔粘连的符合率。数据采用SAS统计软件进行分析，计数资料采用线性趋势χ2检验。【结果】106例RSA患者中发现宫腔粘连18例（17．0％），宫腔粘连发生率随自然流产和宫腔手术操作频次增加而增高有统计学意义（ P ＜0．05）；经阴道超声与宫腔镜检查诊断宫腔粘连的符合率为88．9％（16／18）。【结论】自然流产频次增加宫腔粘连发生风险，尤其是宫腔手术是流产后发生宫腔粘连的重要危险因素。腔内超声检查对其诊断有重要临床应用价值。
【목적】분석복발성유산（RS A ）、궁강수술조작대궁강점련적영향。【방법】대106례RS A환자적림상자료진행회고성분석。통계기유산차수、궁강수술조작차수，초성결합궁강경검사진단궁강점련적부합솔。수거채용SAS통계연건진행분석，계수자료채용선성추세χ2검험。【결과】106례RSA환자중발현궁강점련18례（17．0％），궁강점련발생솔수자연유산화궁강수술조작빈차증가이증고유통계학의의（ P ＜0．05）；경음도초성여궁강경검사진단궁강점련적부합솔위88．9％（16／18）。【결론】자연유산빈차증가궁강점련발생풍험，우기시궁강수술시유산후발생궁강점련적중요위험인소。강내초성검사대기진단유중요림상응용개치。
[Objective] To explore the effects of recurrent spontaneous abortions and uterine cavity opera‐tions on intrauterine adhesion (IUA) .[Methods] A total of 106 women with two or more spontaneous abor‐tions were recruited .Their clinical data were retrospectively analyzed .And the coincidence rates were assessed between the numbers of abortion and uterine cavity operation and ultrasound plus hysteroscopy in the diagnosis of IUA .The SAS statistical software was employed for analysis .The count data were processed by Cochran's linear trend test .[Results] Among them ,the incidence of IUA was 17 .0% (18/106) .And its frequency in‐creased with more abortions and uterine cavity operations .There were significant difference ( P<0 .05) .The coincidence rate of ultrasound and hysteroscopy was 88 .9% .[Conclusion] The frequency of spontaneous abor‐tion increases the risk of IUA .In particular ,uterine cavity operation is one of the important risk factors for IUA after abortion .Vaginal ultrasonic diagnosis has important clinical values for IUA .