摘要
目的了解稽留流产和胎物残留清宫后宫腔粘连发生情况及宫腔粘连分离术后预后。方法本文采用回顾性分析研究2014年12月至2018年11月在襄阳市第一人民医院妇科就诊的宫腔粘连患者,研究组为稽留流产的患者124例和对照组为发生胎物残留的患者118例。分析以上两组患者一般资料、临床表现、宫腔粘连程度、宫腔粘连分离术后患者月经及妊娠情况等指标。结果两组患者宫腔粘连的主要类型分别为单纯宫颈粘连和宫腔合并宫颈粘连,主要粘连程度均为中度粘连。宫腔镜二次探查时稽留流产组和胎物残留组的重度宫腔粘连患者AFS评分下降进行比较,差异具有统计学意义(P<0.05)。在为期1年的随访中,两组患者妊娠的临床指标差异无统计学意义,月经改善方面有统计学差异(P<0.05)。结论稽留流产及胎物残留后清宫均是宫腔粘连的高危因素,稽留流产更容易引起较严重的宫腔粘连,两组患者行宫腔粘连分离术后,稽留流产后月经改善情况低于胎物残留组。
Objective To investigate the incidence of intrauterine adhesion after missed abortion and fetus residues curettage and the prognosis after intrauterine adhesion separation.Methods A retrospective analysis was conducted on patients with intrauterine adhesion who were admitted to the department of gynecology of Xiangyang No.1 People's Hospital from December 2014 to November 2018.Among them,124 patients with missed abortions were selected as the study group and 118 patients with fetal residue as the control group.The general information,clinical manifestations,degree of intrauterine adhesion,menstruation and pregnancy status of patients were analyzed after intrauterine adhesion separation.Results The main types of intrauterine adhesion in the two groups were simple cervical adhesion and intrauterine adhesion combined with cervical adhesion,respectively.Both adhesion were of moderate degree.During the second hysteroscopy exploration,the AFS scores of the missed abortion group and the fetal residues group decreased with significant differences(P<0.05).During the one-year follow-up,there was no statistically significant difference in the clinical indicators of pregnancy between the two groups,and there was significant difference in menstrual improvement(P<0.05).Conclusion Missed abortion and the fetal residues curettage were the risk factors for intrauterine adhesion,and missed abortion was more likely to lead to serious intrauterine adhesion.After the separation of uterine adhesion,the menstrual improvement of missed abortion group was lower than that of fetal residues group.
作者
赵旸
王华
Zhao Yang;Wang Hua(Department of Obstetrics and Gynecology,Xiangyang No.1 People's Hospital,Jinzhou Medical University Union Training Base;Department of Obstetrics and Gynecology,Xiangyang No.1 People's Hospital,Hubei University of Medicine,Xiangyang 441000 China)
出处
《锦州医科大学学报》
2021年第3期91-94,共4页
Journal of Jinzhou Medical University
基金
湖北省卫生健康委员会科研项目,项目编号:WJ2019F086。
关键词
宫腔粘连
稽留流产
胎物残留
宫腔镜检查
清宫
intrauterine adhesions
missed abortion
fetal residues
hysteroscopy
curettage
