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| Observation of the influence of surgical abortion or medical abortion for termination of early pregnancy on fallopian tube patency and endometrium |
| Affiliated Maternity Hospital of Nanjing Medical University, Nanjing Maternal and Child health Hospital, Jiangsu |
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Abstract Objective: To observation of the influence of surgical abortion or medical abortion for termination of early pregnancy on fallopian tube patency and endometrial thickness. Methods: 232 women with early pregnancy patients admitted to affiliated maternity hospital of Nanjing medical university were selected as subjects, of which 98 women experienced medical abortions (medical abortions group) and 134 women experienced surgical abortion (surgical abortion group). After abortion, the fallopian tube patency and endometrial thickness of women in both groups were detected and compared, and incidence of uterine cavity and uterine cervical tube adhesions were observed in both groups. Results: The average endometrial thickness of women in surgical abortion group in 2 weeks after abortion and 1 week after the first menstruation were significantly higher than those of women in medical abortions group (P<0.05). The incidence of fallopian tube obstruction of women in surgical abortion group was 14.6%, which was significant lower than that of women (40.6%) in medical abortions group (P<0.05). The incidence of uterine cavity and uterine cervical adhesion was 1.0% (1/98) in surgical abortion group, which was significant lower than that （9.7%） in the medical abortion group (P<0.05). Conclusion: Compared with surgical abortion, medical abortion for terminating early pregnancy is more likely to cause occlusion of the fallopian tubes. However, surgical abortion maybe has greater bad effect on endometrial thickness, which means that postoperative endometrial recovery is slower, and the adhesions risk of uterine cavity or uterine cervical canal is higher.
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