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目的了解人工流产后同时放置节育环,对宫腔粘连的预防作用。方法 26例行人工流产自愿放置节育环患者,连续用3个月,随访观察,术后第1次月经来潮时间,月经量的多少,有无腹痛,彩超检查子宫恢复情况,有无宫腔积血,对月经量减少者做宫腔镜检查,观察宫腔是否粘连及粘连程度。结果术后月经复潮时间为35～40 d,月经量增多3例,月经量减少1例。对月经量减少行宫腔镜检查结果发现,为轻度粘连,发生率3.8%,中度粘连和重度粘连均未发生。结论人工流产后放置节育环对宫腔粘连有很好的预防作用。
Objective To understand the prevention of intrauterine adhesions by placing birth control rings after abortion. Methods Twenty-six cases of artificial abortion were placed on patients with IUD. The patients were followed up for 3 months continuously. The first menstrual cramps, the amount of menstrual flow, the abdominal pain, the recovery of uterus by color Doppler ultrasound, Blood, reduce the amount of menstrual hysteroscopy to observe whether the uterine adhesions and adhesions. Results The duration of menstruation was 35-40 days after operation, menstruation increased in 3 cases and menstruation decreased in 1 case. Menstrual reduction of hysteroscopy results showed that mild adhesions, the incidence of 3.8%, moderate adhesions and severe adhesions did not occur. Conclusion The placement of a birth control ring after abortion has a good preventive effect on intrauterine adhesions.