人工流产与异位妊娠的关系探讨  

Study on the Relationship between Artificial Abortion and Ectopic Pregnancy

作　　者：翁雷[1] 钱尚萍[1] 段涛[1] 冯令达[1] 

机构地区：[1]上海市第一妇婴保健院妇科,上海200040

出　　处：《江苏大学学报（医学版）》2004年第1期36-38,共3页Journal of Jiangsu University：Medicine Edition

摘　　要：目的 :探讨人工流产与异位妊娠的关系。方法 :收集经病理确诊为异位妊娠 12 0例 ,以该病例年龄± 1岁 ,同期入院的足月分娩病例为对照组 ,共 2 38例。先用以异位妊娠与正常妊娠作为因变量二维Logistic回归分析方法 ,筛选异位妊娠发生的相关因素 ,采用美国疾病控制中心 (CDC)和WHOAIDS共同研制第五级EpiInfo疾病数据管理软件计算出相对危险度 (RR)及 95 %可信度 (CI)。结果 :以往 1次人工流产 ,发生异位妊娠的RR :1 73,95 %可信度(CI) :1 38～ 2 18,以往 2次以上人工流产 ,RR :2 5 2 ,95 %CI :1 72～ 3 70 ,以往 1次及以上人工流产 ,RR :1 97,95 %CI:1 6 2～ 2 4 2。结论 :减少生殖系统炎症 ,避免人工流产对降低异位妊娠发生有积极意义。Objective: To probe the relationship between artificial abortion and ectopic pregnancy. Methods: Cases were 120 women with diagnosis of ectopic pregnancy confirmed by pathology. The control group included 238 women simultaneously admitted with the age±1 year old as cases, who gave birth at term. We screened the relative factors for ectopic pregnancy with logistic regression followed by calculating the relative risk and 95% confidence intervals with the software of the fifth grade Epi Info which was produced by CDC and WHO AIDS. Results: The relative risk (RR) of ectopic pregnancy was 1.73(95%CI:1.38～2.18) for past once artificial abortion. The RR were 2.52 (95%CI:1.72～3.70) and 1.97 (95% CI:1.62～2.42) for past two more and past one or more artificial abortion. Conclusion: It was significant to decrease pelvic inflammatory disease and artificial abortion would be benefit to reduction ectopic pregnancy.

关 键 词：人工流产 异位妊娠 二维Logistic回归分析 病理诊断 生殖系统炎症 

分 类 号：R169.42[医药卫生—公共卫生与预防医学] R714.22