重复异位妊娠58例临床分析  

Clinical analysis on 58 patients with recurrent ectopic pregnancy

作　　者：柴月荣[1] 周婉萍[1] 刘爱民[1] 

机构地区：[1]常州市武进人民医院妇产科,江苏常州213000

出　　处：《中国妇幼保健》2017年第8期1614-1616,共3页Maternal and Child Health Care of China

基　　金：江苏省武进科技局社会发展科技计划项目(武科发[2015]35号WS201512)

摘　　要：目的探讨重复异位妊娠(REP)的病因及治疗方法。方法回顾性分析2013年10月-2015年10月该院收治的REP患者58例(REP组),并选取该院同期收治的58例首次异位妊娠患者作为对照组,分析首次异位妊娠患者治疗方式与REP发生的关系以及REP患者的治疗方式。结果 REP患者的年龄、妊娠次数、流产次数、盆腔手术史及盆腔粘连情况显著高于首次异位妊娠患者(P<0.05),同时停经时间、首次β-人绒毛膜促性腺激素(β-hCG)值均低于首次异位妊娠患者(P<0.05),而两组患者间产次、阴道流血时间、腹痛及人工流产史比较,差异均无统计学意义(P>0.05);前次异位妊娠行患侧输卵管切除术的41例患者中,本次异位妊娠发生在同侧者2例(4.88%),对侧者39例(95.12%),而行保守治疗的17例患者中发生在同侧者16例(94.12%),对侧者1例(5.88%),两者比较,差异有统计学意义(P=0.000);58例REP患者中行腹腔镜手术、开腹手术及药物治疗者分别为19例(32.76%)、18例(31.03%)及21例(36.21%),而首次异位妊娠患者中分别为25例(43.10%)、15例(25.86%)及18例(31.03%),两组患者3种治疗方式间比较,差异无统计学意义(P=0.516)。结论患者的年龄、妊娠次数、流产次数、盆腔手术史、盆腔粘连、停经时间及首次β-hCG值与REP存在密切联系,首次异位妊娠的治疗方式对REP发病部位存在一定影响。Objective To explore the etiology and treatment of recurrent ectopic pregnancy （REP） . Methods Fifty-eight patients with REP treated in the hospital from October 2013 to October 2015were selected as REP group, and 58 patients with primary ectopic preg- nancy during the same period were selected as control group. The relationships between the treatment methods of primary ectopic pregnancy and the occurrence of REP, and the treatment methods of REP were analyzed. Results Patient＇s age, the times of pregnancy, the number of abortion, the history of pelvic surgery, and pelvic adhesion in REP group were statistically significantly higher than those in control group （P〈0. 05 ） . The time of menopause and β-human chorionic gonadotropin （β-hCG） level during the first examination in REP group were statistically significantly lower than those in control group （P〈0. 05 ） . There was no statistically significant difference in parity, vaginal bleeding time, abdominal pain, and abortion history between the two groups （P〉0. 05） . In REP group, among 41 patients undergoing sal- pingectomy of the affected side during the previous ectopic pregnancy, ectopic pregnancy occurred on the same side in 2 patients （4. 88% ） and on the other side in 39 patients （95.12%） ; among 17 patients undergoing conservative treatment, ectopic pregnancy occurred on the same side in 16 patients （94. 12% ） and on the other side in 1 patient （5.88%）, there was statistically significant difference （P=0. 000）. In REP group, the proportions of patients treated by laparoscopic surgery, laparotomy and drug treatment were 32. 76% （ 19 patients）, 31.03% （18 patients）, and 36. 21% （21 patients）, respectively. In control group, the proportions of patients treated by laparoscopic sur- gery, laparotomy and drug treatment were 43.10% （25 patients）, 25.86% （15 patients）, and 31.03% （18 patients）, respectively, there was no statistically significant difference between the two groups （P = 0. 51

关 键 词：重复异位妊娠 治疗方式 异位妊娠 

分 类 号：R714.22[医药卫生—妇产科学]