摘要
目的研究导致稽留流产的病因。方法将石楼人民医院稽留流产患者30例(观察组)和要求人工终止妊娠的正常妇女20例(对照组)进行,阴道出血情况,TORCH,双侧子宫动脉及绒毛间的血流变化,解脲支原体(Uu)和衣原体(CT)检测。其中观察组加做夫妇血型及Rh因子,夫妇抗精子抗体(AsAb),内分泌检测,复合感染阳性检查,同时对流产次数≥2的夫妇行外周血淋巴细胞染色体及胎死胚胎染色体检查。然后进行比较。结果两组CMV、HSV、Uu阳性检出率,阴道出血,复合CMV+Uu、CMV+TOX阳性检出率,双侧子宫动脉的血流变化指标RI及PSV/EDV,P<0.05;但两组绒毛间血流变化指标,子宫动脉的变化指标PSV和EDV、TOX、CT、CMV+HSV、CT+Uu及AsAb阳性率没有显著差异,P>0.05。结论子宫动脉的高阻力状态、巨细胞病毒(CMV)、单纯疱疹病毒(HSV)、解脲支原体(Uu)感染及CMV+Uu、CMV+TOX复合感染可能是稽留流产的病因。
Objective To study the etiology for missed abortion.Methods 30 cases of the missed abortion patient（observation group） and 20 cases of the healthy women of artificial termination of pregnancy（control group） were checked about the situation of vaginal bleeding,TORCH,the changes in the bloodstream of the two sides uterine and naps,Uu,and CT.And the observation group was checked couple blood type and Rh factor,AsAb,endocrine,combined infection composite,chromosome aberration analysis of peripheral lymphocytes in workers exposed to benzene about the couple＇s times of induced abortion was more then 2 and the death of the embryo chromosome additionally.Finally,compare the check outcome.Result The two groups＇ composite detection rate of CMV,HSV,Uu,CMV＋Uu,CMV＋TOX,and RI and PSV/EDV were different significantly,P0.05.But the different of index for change of bloodstream around the naps,PSV,EDV,the composite detection rate of TOX,CT,CMV＋HSV,CT＋Uu and AsAb were no significant,P0.05.Conclusions The high-drag situation of uterine,CMV,HSV and Uu infection and combined infection of CMV＋Uu and CMV＋TOX are all the possible etiology of missed abortion.
出处
《中国医药指南》
2011年第13期41-41,50,共2页
Guide of China Medicine
