140例首次妊娠发生异位妊娠的临床分析

Clinical analysis of 140 cases of ectopic pregnancy occurred in the first pregnancy

目的:探讨发生于首次妊娠的异位妊娠的发病特点、诊断及处理。方法:回顾分析140例首次妊娠发生异位妊娠的病历资料。结果:发生率为10·06%。发病特点为发病年龄早、未婚比例大、避孕知识匮乏;诊断及处理采用BUCL方案,即β-HCG、超声检查、阴道后穹隆穿插术、腹腔镜检术。结论:对该组特定人群进行健康宣教较治疗疾病更为重要,需要全社会的共同关注。

Objective： To study the clinical characteristic of ectopic pregnancy occurred in the first pregnancy. Methods： A retrospective analysis of 140 cases of ectopic pregnancy occurred in the first pregnancys was performed between June 1998 and June 2004. Results： The incidence was 10. 06%. Clinical characteristics were onset in young, higher proportion of unmarried youths and lack of contraception knowledge. Diagnosis and treatment adopted beta subunit of HCG, ultrasound, culdocentesis and laparascopy. Conclusion： To increase this patient＇s reproductive health knowledge is more important than to manage them, which is necessary to be noticed by all the society.