异位妊娠相关因素与早期诊断  

Risk factors and early diagnosis of ectopic pregnancy

作　　者：夏震[1] 马利国[1] 胡芷洋[1] 

机构地区：[1]暨南大学医学院附属第二临床医院,深圳市人民医院妇科518000

出　　处：《中国妇幼保健》2005年第12期1451-1453,共3页Maternal and Child Health Care of China

摘　　要：目的:探讨异位妊娠的相关因素及早期诊断要点。方法:收集自2001年1月1日～2003年7月1日,在本院诊治的490例异位妊娠患者,对其临床资料进行回顾性分析。结果:异位妊娠好发年龄为21～25岁;曾有妇科病史、宫内节育器及盆腔手术史是其好发因素;下腹部疼痛、不规则阴道流血、肛门坠胀感是其常见症状,且常出现于停经后5～8周。结论:根据异位妊娠常见的相关因素对其做出早期诊断在临床工作中有着现实意义。Objective:To assess the risk factors associated with ectopic pregnancy and points of early diagnosis.Methods:A retrospective cohort study was performed to evaluate the clinical data from 490 patients diagnosed and treated as ectopic pregnancy in this hospital from Jan 1, 2001 to Jul 1, 2003.Results:Women aged 21 to 25 years old were most prone to have ectopic pregnancy. History of pelvic inflammation or operation and use of IUD were positively related to ectopic pregnancy. Lower abdominal pain、irregular vagina bleeding、tenesmus were the three most frequently experienced symptoms of ectopic pregnancy and usually appeared between 5th to 8th gestational week.Conclusion:Better acknowledgement of the risk factors of ectopic pregnancy may play practical roles in earlier diagnosis to enhance both maternal survival and conservation of reproductive capacity.

关 键 词：异位妊娠 高危因素 早期诊断 相关因素 

分 类 号：R714.22[医药卫生—妇产科学]