重复异位妊娠39例临床分析

Clinical analysis of patients with recurrent actopic pregnancy

目的探讨与重复异位妊娠发生的相关因素。方法回顾性调查2004年6月—2006年3月收治的310例异位妊娠孕妇的孕产次、盆腹腔手术史、粘连史、异位妊娠类型及治疗方式、腹腔内出血等资料。结果310例异位妊娠孕妇发生重复异位妊娠者39例,重复异位妊娠均位于输卵管,占同期异位妊娠总数的12．5%,两次异位妊娠间隔时间为6月～7年,临床表现相似,诊断不难。35例重复异位妊娠为连续2次异位妊娠,4例为连续3次异位妊娠。结论首次异位妊娠的治疗方式与重复异位妊娠有因果关系,要综合多方面的因素慎重选择对首次异位妊娠的治疗方式。

Objective To explore the correlative factors of recurrent actopic pregnancy. Methods A retrospective survey of recurrent actopic pregnancy was carried out during Jun. 2004-Mar. 2006 by investigating the history of pelvic operation, adhesion and bleeding, treatment method, and status of the tubal inflammation. Results Out of 310 patients, 39 cases had recurrent actopic pregnancy. The intervals between two actopic pregnancies were 6 months to 7 years. Conclusion Recurrent actopic pregnancy has a close link with the treatment method of the previous actopic pregnancy.