输卵管结扎术后异位妊娠50例临床分析

ECTOPIC PREGNANCY AFTER TUBAL LIGATION CLINICAL ANALYSIS IN 50CASES

目的探讨输卵管结扎术后异位妊娠的相关因素。方法选择2000年9月—2009年12月我院收治的输卵管结扎术后异位妊娠患者50例,通过回顾分析的方法对患者的临床相关资料进行总结和思考,研究患者异位妊娠与输卵管结扎术式的关系及相关影响因素。结果输卵管结扎术后发生的异位妊娠均为输卵管妊娠,以30~36岁为发病年龄高峰。术后4~6年为高发时间,结扎方法以输卵管折叠结扎切断法发病率最高,异位妊娠部位以壶腹部着床者居多。结论规范化的操作流程、稳定的手术适应证以及适宜的结扎方法都是导致输卵管结扎术后异位妊娠的相关因素,对减少和预防输卵管结扎术后异位妊娠具有重要的临床价值。

Objective To investigate the relevant factors in ectopic pregnancy after tubal ligation.Methods 50 patients were selected from september 2000 to december 2009 admitted to our hospital for ectopic pregnancy after tubal ligation,clinical summary of relevant information and reflection were made in patients with ectopic pregnancy and tubal ligation relationship between surgical and related factors.Results Tubal ligation ectopic pregnancy occurred in both tubal pregnancy,30 ~ 36 years old was the age of peak incidence.4 to 6 years after high time for folding ligation tubal ligation method to cut off the highest incidence of france,ectopic pregnancy,implantation sites were mostly in order to ampulla.Conclusion Standardized operating procedures,stability,surgical indications and appropriate sterilization methods are related factors for leading to ectopic pregnancy after tubal ligation,and also to reduce and prevent tubal ligation ectopic pregnancy has important clinical value.