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目的 探讨异位妊娠的发病原因。方法 选取4 年来我院手术异位妊娠患者69 例,按年龄分为A组(<25岁)29例和B组(≥25岁)40 例。结果 A组20 例(68.97%)未婚,B组6 例(15%)未婚,A组无慢性盆腔炎病例,1例(3 45%)有盆腹腔手术史,B组4例(10%)慢性盆腔炎病例,12 例(30%)有盆腹腔手术史,A组2例(6.90%)输卵管粘连,B组21 例(52.50%)输卵管粘连,以上差异均有显著意义(P<0.05)。两组初次性生活年龄、人工或药物流产次数差异无显著意义(P>0.05)。结论 不同年龄组患者异位妊娠病因构成不同,分别以盆腔炎、输卵管粘连和输卵管功能不完善、慢性输卵管炎为主。
Objective To investigate the etiology of ectopic pregnancy. Methods Sixty-nine patients with ectopic pregnancy who underwent surgery in our hospital during the past 4 years were divided into two groups according to their age: 29 cases in group A (n = 25) and 40 cases in group B (≥25 years). Results In group A, 20 cases (68.97%) were unmarried, 6 cases (15%) in group B were unmarried, group A had no history of chronic pelvic inflammatory disease, 1 case (3 45% In 12 cases (30%) of patients with chronic pelvic inflammatory disease, there was a history of pelvic surgery, tubal adhesions in 2 patients (6.90%) in group A and tubal adhesions in 21 patients (52.50%) in group B (all P <0.05) . There was no significant difference in the number of first-time sexual lives, artificial or medical abortion between the two groups (P> 0.05). Conclusion The etiology of ectopic pregnancy is different in different age groups. Pelvic inflammatory disease, tubal adhesions and tubal dysfunction, and chronic salpingitis are the main causes.