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目的:分析不孕症治疗中异位妊娠的相关危险因素,为临床治疗提供参考依据。方法:回顾性分析2009年10月～2012年1月收治的46例异位妊娠患者的临床资料(异位妊娠组),并与同期随机选取的50例经B超确诊的正常妊娠者(对照组)进行比较分析。结果:分娩史、剖宫产史、子宫肌瘤以及IUD与异位妊娠的发生无相关关系,两组比较差异无统计学意义(P>0.05);流产史、输卵管术史、不孕症、多个性伴侣以及<18岁与异位妊娠有密切关系,两组比较差异有统计学意义(P<0.05);盆腔炎症、流产3次以上及宫外孕史是异位妊娠发生的极危险因素,两组比较差异有统计学意义(P<0.01)。结论:对于有流产史、输卵管术史、不孕症、多个性伴侣、<18岁、盆腔炎症、流产3次以上、宫外孕史以及异位妊娠史的患者一旦受孕,尤其是盆腔炎症、流产3次以上、宫外孕史以及异位妊娠史者,必须进行严密监测,根据患者的具体情况进行预防性用药,以最大限度地降低异位妊娠的发生率。
Objective: To analyze the related risk factors of ectopic pregnancy in the treatment of infertility and provide reference for clinical treatment. Methods: The clinical data of 46 patients with ectopic pregnancy (ectopic pregnancy group) admitted to our hospital from October 2009 to January 2012 were retrospectively analyzed. Fifty patients with normal pregnancy who were diagnosed by B- Group) for comparative analysis. Results: The history of labor, history of cesarean section, uterine fibroids and IUD had no correlation with the incidence of ectopic pregnancy, there was no significant difference between the two groups (P> 0.05); abortion history, tubal history, infertility, Multiple sexual partners and <18 years of age and ectopic pregnancy are closely related, the difference between the two groups was statistically significant (P <0.05); pelvic inflammatory disease, abortion more than 3 times and ectopic pregnancy history is a very risky ectopic pregnancy risk factors, two The difference was statistically significant (P <0.01). CONCLUSIONS: For patients with history of abortion, history of tubal surgery, infertility, multiple sexual partners, <18 years of age, pelvic inflammatory disease, abortion more than 3 times, history of ectopic pregnancy and history of ectopic pregnancy, especially when pelvic inflammatory disease, abortion 3 Times or more, ectopic pregnancy history and ectopic pregnancy history, must be closely monitored, according to the specific circumstances of patients with preventive medication to minimize the incidence of ectopic pregnancy.