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目的:分析输卵管妊娠患者的婚育及治疗情况,预防输卵管妊娠发生,提高输卵管妊娠诊治效果。方法:对353例输卵管妊娠住院治疗患者的婚育情况和治疗情况进行回顾性分析。结果:91.78%的输卵管妊娠患者有1次以上流产史,未婚占24.05%,未婚和已婚未生育占57.79%,未婚首孕的输卵管妊娠发生比率显著高于已婚(P<0.05)。药物化疗149例,其中失败行手术10例,共手术切除输卵管124例,保守手术50例,期待疗法40例,所有患者均治愈出院。结论:有人工流产等宫腔操作史是继发输卵管妊娠的高危因素,输卵管妊娠患者存在继发不孕症风险,根据病情采取手术和化疗是有效的治疗方法,但关键仍是重在预防。
Objective: To analyze the marriage and childbirth and treatment of tubal pregnancy patients, to prevent tubal pregnancy and to improve the diagnosis and treatment of tubal pregnancy. Methods: The 353 cases of tubal pregnancy hospitalized patients with marital status and treatment were retrospectively analyzed. Results: 91.78% of tubal pregnancy patients had more than one history of miscarriage, 24.05% were unmarried, 57.79% were unmarried and married, and the incidence of tubal pregnancy in unmarried first pregnancy was significantly higher than that in married (P <0.05). Drug chemotherapy in 149 cases, of which 10 cases failed surgery, a total of 124 cases of tubal resection, conservative surgery in 50 cases, 40 cases expected treatment, all patients were cured. Conclusion: Uterine cavity operation history such as induced abortion is a high risk factor of secondary tubal pregnancy. Tubal pregnancy patients have the risk of secondary infertility. Surgical and chemotherapy based on the disease is an effective treatment, but the key is to prevent it.