输卵管重复异位妊娠危险因素与临床特点病例对照研究

发布时间：2018-04-08 16:21

本文选题：输卵管重复异位妊娠　切入点：危险因素　出处：《中国实用妇科与产科杂志》2017年06期

【摘要】：目的探讨输卵管重复异位妊娠(REP)危险因素及临床特点。方法纳入北京协和医院2013年1月至2014年12月共78例REP组患者,并按首次异位妊娠(EP)年龄、婚姻状态、就业状态,以1∶1比例匹配77例同期收治初次治疗输卵管异位妊娠(SEP)患者作为SEP组,比较两组的临床特点,并分析REP的危险因素。结果未生育(OR=2.163,95%CI 1.066~4.386)、既往EP开腹手术史(OR=8.585,95%CI 1.001~73.596)是REP的危险因素。REP与SEP临床表现相似,除了REP组术前超声直径4cm异位妊娠包块数较SEP组明显减少(P0.01)。REP组术中发现合并粘连及对侧输卵管病变的发生率明显高于SEP组(P0.05)。结论积极防治首次异位妊娠、合理避孕、采用腹腔镜手术可预防REP发生。
[Abstract]:Objective to investigate the risk factors and clinical features of repeated ectopic tubal pregnancy (RP).Methods from January 2013 to December 2014, 78 patients with REP were enrolled in Beijing Union Hospital. According to the age, marital status and employment status of the first ectopic pregnancy, the patients were enrolled in the study.77 patients with primary treatment of ectopic tubal pregnancy were treated at 1:1 as SEP group. The clinical characteristics of the two groups were compared and the risk factors of REP were analyzed.Results the risk factors of REP were 2.16395 CI 1.066 and 4.386.The history of EP open surgery was 8.58595 CI 1.001 / 73.596). The clinical manifestation of SEP was similar to that of rep.In addition, the number of ectopic 4cm ectopic pregnancy lumps in REP group was significantly lower than that in SEP group. The incidence of combined adhesion and contralateral fallopian tube lesions was significantly higher in the REP group than in the SEP group.Conclusion the prevention and treatment of first ectopic pregnancy, rational contraception and laparoscopic surgery can prevent REP.
【作者单位】：中国医学科学院中国协和医科大学北京协和医院妇产科;
【分类号】：R714.221

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