检验医学与临床
檢驗醫學與臨床
검험의학여림상
Laboratory Medicine and Clinic
2015年
23期
3515-3516
,共2页
宫腔粘连%刮宫操作%回顾性分析
宮腔粘連%颳宮操作%迴顧性分析
궁강점련%괄궁조작%회고성분석
intrauterine adhesion%curettage%retrospective study
目的：探讨刮宫操作与宫腔粘连及严重程度的相关性。方法回顾性分析重庆市第五人民医院近5年收治的96例宫腔镜下诊断为宫腔粘连的患者。结果月经量减少28例（29．1％）、闭经26例（27．1％）和不孕31例（32．3％），此3项是宫腔粘连就诊的主要原因，余下11例因习惯性流产、腹痛等原因就诊。患者均有宫腔操作史，在这些引起宫腔粘连的操作中，稽留流产清宫占47．9％（46／96），人工流产清宫占34．3％（33／96），顺产后清宫占12．5％（12／96），其余5例有宫内节育器置入或取出史。发生中、重度粘连与产后清宫有关，其差异有统计学意义（P＜0．05），与清宫次数无关，差异无统计学意义（P＞0．05）。结论各种刮宫操作可引起宫腔粘连，产后清宫易导致中、重度宫腔粘连，刮宫次数与粘连程度无明显相关性。
目的：探討颳宮操作與宮腔粘連及嚴重程度的相關性。方法迴顧性分析重慶市第五人民醫院近5年收治的96例宮腔鏡下診斷為宮腔粘連的患者。結果月經量減少28例（29．1％）、閉經26例（27．1％）和不孕31例（32．3％），此3項是宮腔粘連就診的主要原因，餘下11例因習慣性流產、腹痛等原因就診。患者均有宮腔操作史，在這些引起宮腔粘連的操作中，稽留流產清宮佔47．9％（46／96），人工流產清宮佔34．3％（33／96），順產後清宮佔12．5％（12／96），其餘5例有宮內節育器置入或取齣史。髮生中、重度粘連與產後清宮有關，其差異有統計學意義（P＜0．05），與清宮次數無關，差異無統計學意義（P＞0．05）。結論各種颳宮操作可引起宮腔粘連，產後清宮易導緻中、重度宮腔粘連，颳宮次數與粘連程度無明顯相關性。
목적：탐토괄궁조작여궁강점련급엄중정도적상관성。방법회고성분석중경시제오인민의원근5년수치적96례궁강경하진단위궁강점련적환자。결과월경량감소28례（29．1％）、폐경26례（27．1％）화불잉31례（32．3％），차3항시궁강점련취진적주요원인，여하11례인습관성유산、복통등원인취진。환자균유궁강조작사，재저사인기궁강점련적조작중，계류유산청궁점47．9％（46／96），인공유산청궁점34．3％（33／96），순산후청궁점12．5％（12／96），기여5례유궁내절육기치입혹취출사。발생중、중도점련여산후청궁유관，기차이유통계학의의（P＜0．05），여청궁차수무관，차이무통계학의의（P＞0．05）。결론각충괄궁조작가인기궁강점련，산후청궁역도치중、중도궁강점련，괄궁차수여점련정도무명현상관성。
Objective To study the correlation between the curettage and the severity of intrauterine adhesion . Methods To retrospectively analyze the clinical data of 96 patients with intrauterine adhesion diagnosed by hystero‐scope uteroscope during recent 5 years in the Fifth People′s Hospital of Chongqing .Results There were 28 patients with hypomenorrhea (29 .1% ) ,26 patients with amenorrhea (27 .1% ) ,and 31 patients with sterility (32 .3% ) .These three factors were main reasons for patients with intrauterine adhesion to visit hospital .The rest of 11 patients visited hospital for habitual abortion or abdominal pain .All of the patients had curettage operation history .In these opera‐tions causing intrauterine adhesion ,missed abortion ,surgical abortion and the curettage after natural labor accounted for 47 .9% (46/96) ,34 .3% (33/96) and 12 .5% (12/96) respectively ,and the rest of 5 patients had a history of inser‐tion or removal of IUD .The incidences of severe and moderate intrauterine adhesion were correlated with the curet‐tage after natural labor (P< 0 .05) ,while was not correlated with the times of curettage (P> 0 .05) .Conclusion The curettage might lead to intrauterine adhesion .The curettage after natural labor might cause severe and moderate in‐trauterine adhesion .There was no significant correlation between curettage times and degree of intrauterine adhesion .
