【摘要】 目的:评价宫腔粘连术后患者再次妊娠时不良预后的发生情况。方法:追踪随访并分析2011年1月~2013年1月郑州大学第三附属医院247例宫腔粘连术后患者再次妊娠情况及不良预后发生情况。结果:术后随访1年,103例轻度宫腔粘连患者受孕61例,稽留流产3例,晚期流产1例,胎盘异常6例;79例中度宫腔粘连患者,受孕32例,稽留流产7例,宫颈机能不全孕中期自然流产1例,胎盘异常9例;65例重度宫腔粘连患者,受孕16例,稽留流产8例,胎盘异常7例,组间比较差异均有统计学意义(P<0.05)。结论:随着宫腔粘连程度的加重,宫腔粘连术后患者妊娠率逐渐降低,稽留流产及分娩时胎盘异常发生率逐渐增高。更多还原

【Abstract】 Objective: To evaluate the condition of adverse prognosis for pregnant patients with intrauterine adhesions postoperatively. Methods: 247 cases of pregnancy poor prognosis after intrauterine adhesions operation between January 2011 and January 2013 in the third affiliated hospital of Zhengzhou University were followed- up and analyzed. Results: In 103 cases of patients with mild intrauterine adhesions after operation,61 cases were pregnancy in the 1 year of followed up,including 3 cases of missed abortion,1 case of late abortion and 6 cases of abnormal placenta. In 79 patients with moderate intrauterine adhesions after operation,32 cases were pregnancy in the 1 year of followed up,including 7 cases of missed abortion,1 case of cervical incompetence of second trimester spontaneous abortion,9 cases of abnormal placenta. There were 65 cases of severe intrauterine adhesions after operation,16 cases were pregnancy in the 1 year of followed up,including 8 cases of missed abortion,7 cases of abnormal placenta. There were statistically significant differences between groups( P <0. 05). Conclusion: With the increasing of the degree of intrauterine adhesions,the patients with postoperative pregnancy rates are gradually decreased,missed abortion and childbirth placental abnormality rates are gradually increased.更多还原