160例稽留流产相关因素分析

沈建平

如皋市人民医院妇产科,江苏如皋226500

[摘要]目的分析稽留流产的相关影响因素。方法整群选取该院2013年2月—2014年4月收治的异常阴道流血患者1 140例，其中出现稽留流产的患者有160例，占总数的14.03%。对160例孕妇的一般信息，病理资料进行分析整合，分析引起稽留流产的因素。统计160例孕妇的年龄、流产次数、孕前检查以及取环术停服避孕药后的时间等所占总数比例，分析稽留流产与上述因素之间的关系。结果稽留流产的影响因素包括胚胎因素，感染因素和免疫因素，产妇年龄在30岁以上稽留流产的发生率明显高于30岁以下的患者。产妇流产次数在2次以上的稽留流产率明显高于流产1次的患者。取环术停服避孕药后间隔时间在6个月以下的稽留流产率明显高于6个月以上的患者。结论稽留流产的发生因素非常多，要减少稽留流产的发生率就要严格进行孕前检查，加大孕前检查的力度。

[关键词]稽留流产；影响因素；产妇流产

[中图分类号]R714.21

[文献标识码]A

[文章编号]1674-0742（2015）10（a）－0034-02

[作者简介]沈建平(1970.10-),女,江苏南通人,本科,副主任医师,主要从事妇产科工作。

Abstract[]Objective To analyze the influencing factors related to missed abortion.Methods 1140 cases with abnormal vaginal bleeding admitted in our hospital from February 2013 to April 2014 were selected, of them, 160 cases had missed abortion, accounting for 14.03%.The general information and pathological data of the 160 cases with missed abortion were analyzed and integrated.The factors causing missed abortion were analyzed.The proportion of age, times of miscarriages, pre-pregnancy check, and time of stopping to take birth control pills after the removal of intrauterine device in the 160 cases was counted.And the correlation between missed abortion and the above factors were analyzed.Results The influencing factors of missed abortion included embryonic factors, infectious factors and immune factors.The incidence of missed abortion was much higher in the puerperants over 30 years old than in those under 30 years old, P<0.05.The incidence of missed abortion was obviously higher in the puerperants with more than 2 times of abortion than in those with 1 time of abortion.The incidence of missed abortion was significantly higher in the puerperants with less than 6 months than in those with over 6 months after stopping to take birth control pills after the removal of intrauterine device, P<0.05.Conclusion Many factors can cause missed abortion.In order to reduce the incidence of missed abortion, pre-pregnancy check should be strengthened and performed strictly.

收稿日期：（2015-06-27）

Analysis of the Related Factors of 160 Cases with Missed Abortion

SHEN Jian-ping

Department of Obstetrics and Gynecology, The People's Hospital of Rugao, Rugao, Jiangsu Province, 226500 China

[Key words]Missed abortion; Influencing factors; Maternal abortion

稽留流产是指胎儿或胚胎在孕妇宫腔内死亡，置留在宫腔中不能自然排除，是一种情况较特殊的流产。根据相关资料显示，我国稽留流产的发生率在14%，已经成为临床上非常重要的疾病[1]。稽留流产对孕妇的身体和心理都会造成非常大的损害，为了能够降低稽留流产的发生率，就需要对引起稽留流产的原因进行研究，从而才能采取针对性的措施。……