药物流产和手术流产对输卵管通畅性的影响

目的:探讨药物流产和手术流产对输卵管通畅性的影响。方法:将542例行子宫输卵管造影术的不孕妇女分成药物流产组(药物组)、手术流产组(手术组),以及无流产组(原发组),并将流产组再分为停经≤6周和>6周两组进行对比分析。结果:药物组、手术组、原发组的输卵管阻塞的发生率分别为51.38％,39.88％,30.74％。药物组、手术组的输卵管阻塞的发生率高于原发组,有显著性差异(P<0.001,P<0.05)。药物组输卵管阻塞高于手术组(P<0.05)。>6周药物组的输卵管阻塞率高于≤6周的药物组和>6周的手术组(P<0.05,P<0.01)。而≤6周的药物组与≤6周的手术组、>6周的手术组与≤6周之间无显著性差异(P>0.05)。结论:流产是引起输卵管阻塞的原因,药物流产比手术流产的输卵管阻塞率高。而妊娠6周以上的药物流产妇女输卵管阻塞发生的可能性比手术流产及妊娠6周以内的药物流产者增加。

Comparative Study on the Fallopian Tube Occlusion Relevant to the Early Medical Abortion and the Early Surgical Abortion

Objective: To study the fallopian tube occlusion relevant to the early medical abortion and the early surgical abor-tion. Method: By the different abortion option, 542 women who experiencing infertility have taken the hysterosalpingography exam are divided into 3 groups, the medical abortion group( medical group) , the surgical abortion group(surgical group) and the primary infertility group (primary group). Furthermore, by the different gestation, both the medical and surgical group are divided into ≤6 weeks'and >6 weeks'group. the fallopian tube occlusion rates of those groups are measured. Results: The occurrence rate of fallopian tube occlusion in the medical group is approximately 51. 38% , surgical group 39. 88% , primary group 30. 74% . The rates of the medical and surgical group are higher significantly than that of the primary group( P < 0. 001, P <0. 05). The rate of medical group is higher significantly than that of the surgical group (P < 0. 05). > 6 weeks'medical group is higher significantly than both the >6 weeks'surgical and≤6 weeks'medical group(P <0. 05 ,P <0. 01). But there is no significant difference between the≤6 weeks'medical group and≤6 weeks'surgical group, and so between the ≤S6 weeks 'and >6 weeks'surgical groups. Conclusion: Abortion can be one of the causes which lead to the fallopian tube occlusion. The medical abortion is more often leading to fallopian tube occlusion than surgical group, and >6 weeks'medical abortion is more often than≤6 weeks'medical abortion and surgical abortion.