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Reproductive Tract Pathogens Infection And Intrauterine Adhesions Postoperative Clinical Curative Effect

Posted on:2014-01-21Degree:MasterType:Thesis
Country:ChinaCandidate:B G FanFull Text:PDF
GTID:2234330398978194Subject:Obstetrics and gynecology
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Intrauterine is the frequently-occurring disease, many secondary to uterine cavity operation and postoperative uterine infection, Clinical mainly for amenorrhoea or reduce the quantity, secondary infertility and pregnancy anomaly, etc. In recent years, the incidence of IUA increases year by year trend, is one of the important reasons for lead to infertility, seriously affected the women’s physical and mental health.At present, the dissection of hysteroscopic intrauterine adhesions (transcervical resection of adhesions, TCRA) is a standard method for treatment of intrauterine adhesions, but studies have found that TCRA patients will still appear different degree of menstrual disorders, pregnancy rate was low and the adhesion recurrence, directly affect the operation of the treatment effect of TCRA.Endometrial damage and (or) after infection, inflammatory factor and cytokine release to the extracellular matrix accumulation, further the formation of endometrial fibrosis, eventually induce intrauterine adhesions, inflammatory reaction may participate and aggravation of IUA.Ureaplasma urealyticum, Chlamydia trachomatis and various bacterial pathogens are pathogens of common reproductive system, these pathogens can easily cause endometritis ascending infection (endometritis), inflammation,reproductive system. At present there is no comprehensive literature analysis clinical relationship between Ureaplasma urealyticum, Chlamydia trachomatis and bacterial pathogens and intrauterine adhesions after reports.ObjectiveThrough the development of genital tract pathogens and uterine cavity adhesion postoperative recurrence rate again, pregnancy rate and menstrual improvement and clinical curative effect of the correlation study of infection with inflammations and the correlation of uterine cavity adhesion, so as to improve the quality of life of the patients.MethodsThe preoperative and postoperative patients to TCRA respectively line Ureaplsma urealyticum, Chlamydia trachomatis and cervical secretion bacterial culture detection, preoperative and postoperative are all positive in patients to observe group, preoperative and postoperative are negative patients as control group, comparison between group menstruation, pregnancy rate and improve the clinical curative effect and recurrence rate and differences.Using SPSS13.0software for data analysis. Each group by chi-square test, inspection level a=0.05.ResultsUreaplasma urealyticum, Chlamydia trachomatis group and the group of cervical secretions bacterial culture results of three groups of similar, antiviral treatment is still positive in the observation group, the postoperative menses and pregnancy rate was significantly difference after treatment negative observation group and patients in the control group, and the observation of adhesion recurrence rate was significantly higher than that of in the observed group and the control group patients. ConclusionThe treatment effective against Ureaplasma urealyticum, Chlamydia trachomatis and bacterial pathogens to intrauterine adhesions after operation, can significantly reduce the uterine cavity of patients with severe adhesions again the adhesion rate, improve the recovery and improve the pregnancy rate of menstruation, thus improving the prognosis of patients with intrauterine adhesion.
Keywords/Search Tags:Intrauterine adhesions, Ureaplsma urealyticum, Chlamydiatrachomatis, Cervical secretions culture
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