两次异位妊娠后再次宫内妊娠的临床分析  

Clinical Analysis of Second Ectopic Pregnancy after First Episode

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作  者:胡映红[1] 黄宝珍[1] 

机构地区:[1]广东省开平市中心医院产科,开平529300

出  处:《热带医学杂志》2006年第4期431-433,共3页Journal of Tropical Medicine

摘  要:目的探讨异位妊娠保守治疗的效果。方法回顾性分析12例孕妇前两次(共24次)异位妊娠的发病特点﹑辅助检查﹑治疗方法及结局。结果两次异位妊娠行米非司酮药物保守治疗共7次,其中成功4次,失败3次;剖腹探查17次,其中予切除患侧输卵管4次,保留患侧输卵管13次。宫内妊娠剖宫产9例,顺产3例。结论异位妊娠的再发率较高,慎重选取异位妊娠的治疗方法可提高其治疗效果。Objective To investigate the efficacy of the two treatment methods for ectopic pregnancy. Method Retrospective analysis of ectopic pregnancy in 12 subjects was performed. The characteristics of disease, associated examination, treatment method and sequel were analyzed in 12 subjects with twice ectopic pregnancy. Result Four treatments were successful and three failed in the 7 drug therapies with mifepristone, 17 patients had operated, with 4 cases had resection of the gravid oviduct and 13 cases had the gravid oviduct reserved. There were 9 cesarean sections and spontaneous deliveries after repeated ectopic pregnancy. Conclusion The recurrent rate of ectopic pregnancy is increased. Carefual choosen methods of therapy may be helpful to patients with history of ectopic pregnancy.

关 键 词:妊娠 异位 治疗 预后 

分 类 号:R714.22[医药卫生—妇产科学]

 

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