论文部分内容阅读
目的分析重复异位妊娠的危险因素。方法回顾性分析本院2009年1月至2011年12月670例异位妊娠中73例重复异位妊娠病例的术中所见盆腔情况、重复异位妊娠发生部位及其与前次异位妊娠所用治疗方法的关系。结果本文重复异位妊娠发生部位均为输卵管,手术治疗60例,术中发现不同程度盆腔粘连或输卵管炎症改变51例,发生率为69.9%;前次异位妊娠行药物保守治疗或手术保留患侧输卵管治疗42例,重复异位妊娠发生于原患侧36例(85.7%);前次行患侧输卵管切除31例,再次异位妊娠有30例(96.8%)发生于对侧,1例发生于原输卵管残端。两者间有显著差异(P<0.01)。结论重复异位妊娠发病的重要原因为盆腔炎症及前次异位妊娠的保守治疗。
Objective To analyze the risk factors of repeated ectopic pregnancy. Methods Retrospective analysis of pelvic findings in 73 cases of ectopic pregnancy in 670 cases of ectopic pregnancy in our hospital from January 2009 to December 2011 retrospectively analyzed the site of repeat ectopic pregnancy and its relationship with the previous ectopic pregnancy The treatment of the relationship. Results In this study, 60 cases of tubal ectopic pregnancy were treated by surgery, and 51 cases of pelvic adhesions or tubal inflammation were found in varying degrees. The incidence rate was 69.9%. Preoperative ectopic pregnancy conservative treatment or surgery 42 cases of lateral tubal ectopic pregnancy occurred in the original ipsilateral 36 cases (85.7%); the previous line of ipsilateral tubal resection in 31 cases, ectopic pregnancy again in 30 cases (96.8%) occurred in the contralateral, 1 case Occurred in the original fallopian tube stump. There was a significant difference between the two (P <0.01). Conclusion The main reason for the recurrence of ectopic pregnancy is pelvic inflammatory disease and the conservative treatment of the previous ectopic pregnancy.