异位妊娠399例病因探讨

Exploration of the causes of heterotopic pregnancy-- A report of 339 cases

目的探讨异位妊娠相关的发病因素。 方法采取回顾性分析的方法．对399例异位妊娠的病因进行分类分析。 结果399例异位妊娠患者中患盆腔炎84例（21．4％），行人流术301例（75．4％），患附件囊肿34例（8．5％），患子宫肌瘤13例（3．2％），放置官内节育器34例（8．5％），精神因素52例（13．0％）。399例中重复异位妊娠占2．7％。 结论异位妊娠的致病因素是复杂的，但精神因素是个不可忽视的重要方面。

Aim To explore the relations between heterotopic pregnancy and the pathogenic factors. Methods Pathogenic factors of 399 cases with heterotopic pregnancy were analyzed retrospectively. Results 84 cases （21. 4%） suffered from pelvic inflation, 301 （75. 4%） underwent abortion, 34 （8. 5%） had adnexal cyst, 13 （3.2%） hysteromyoma, 34 （8.5%） had intrauterine device and 52 （13.0%） had spiritual factors. 2.7% of 339 cases suffered from repeated heterotopic pregnancy. Conclusion Heterotopic pregnancy has complicated causes, but spiritual factors cannot be overlooked.