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重复异位妊娠74例临床分析 被引量:1

Clinical analysis on 74 cases with recurrent ectopic pregnancy
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摘要 目的:分析及探讨重复异位妊娠的病因、治疗方式及预防措施。方法:回顾分析2006年1月~2008年12月汕头大学第一附属医院74例重复异位妊娠的临床资料。结果:重复异位妊娠的发病率为8.08%,均为输卯管妊娠。有54.05%的患者前次治疗方式为保守治疗(包括手术及药物),前次手术方式与重复异位妊娠部位有关。术中发现有67.30%存在盆腔粘连或输卵管炎症、扭曲。结论:输卵管炎和盆腔粘连及治疗方式是重复异位妊娠的重要原因,异位妊娠必须选择适当的治疗方式,术后加强消炎. Objective: To analyze and explore the etiology, therapies and preventive measures of recurrent ectopic pregnancy. Methods: Clinical data of 74 cases with recurrent ectopic pregnancy were analysed retrospectively from January 2006 to December 2008. Results: The incidence of recurrent ectopic pregnancy was 8.08% , all the patients were fallopian pregnancy. 54.05% of the cases accepted expectant treatment (including surgery therapy and pharmacotherapy) in previous ectopic pregnancy, the site of recurrent ectopic pregnancy was related to the previous modus operandi. 67.30% of the cases were found with pelvic adhesions, salpingitis and fallopian tube distortion. Conclusion: The main etiologies of recurrent eetopic pregnancy are pelvic adhesions, salpingitis and therapies of previous ectopic pregnancy. Therefore, anti - infective therapy after operation is necessary.
作者 郑楚銮 黄菊
出处 《中国妇幼保健》 CAS 北大核心 2009年第17期2338-2339,共2页 Maternal and Child Health Care of China
关键词 重复异位妊娠 炎症 治疗方式 Recurrent ectopic pregnancy Inflammation Therapy
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