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目的探讨异位妊娠的高危因素及其与盆腔手术史的关系。方法回顾性分析2008年8月～2010年12月在某院住院治疗的异位妊娠患者483例,由受过专业培训的工作人员收集患者资料,分析比较不同危险因素对异位妊娠的影响。结果不同年龄段异位妊娠发生情况,﹤20岁者12例,占2.5%;20～29岁者243例,占50.3%;30～39岁者220例,占45.5%;≥40岁者8例,占1.7%。危险因素分析显示,患者主要的危险因素包括盆腔感染史、流产史、宫内节育器、不孕史、剖宫产手术史、异位妊娠史、输卵管结扎手术史以及其他吸烟等,其中最主要的是盆腔感染史,占44.9%;流产史,占34.6%;患者曾经出现过不孕史,占20.2%。有过盆腔手术的患者118例,其中有盆腔炎症史者63例,占53.4%;而有过盆腔手术的患者365例,出现盆腔炎症者129例,占35.3%,二者相比,差异具有统计学意义,P﹤0.05。结论异位妊娠与盆腔感染史、流产史、腹部手术史密切相关,在生活中注意干预这些危险因素,对于预防异位妊娠的发生具有重要的临床意义。
Objective To investigate the risk factors of ectopic pregnancy and its relationship with the history of pelvic surgery. Methods 483 cases of ectopic pregnancy hospitalized in a hospital from August 2008 to December 2010 were retrospectively analyzed. Patient information was collected by trained staff and the influence of different risk factors on ectopic pregnancy was analyzed. Results The incidence of ectopic pregnancy in different age groups, 12 cases of <20 years, accounting for 2.5%; 243 cases of 20 to 29 years old, accounting for 50.3%; 220 cases of 30-39 years, accounting for 45.5%; 40 years of age 8 Example, accounting for 1.7%. Analysis of risk factors, the main risk factors in patients, including history of pelvic infection, miscarriage, IUD, history of cesarean section, history of ectopic pregnancy, tubal ligation and other smoking, the most important The history of pelvic infection, accounting for 44.9%; abortion history, accounting for 34.6%; patients have had infertility history, accounting for 20.2%. There are 118 cases of pelvic surgery patients, including 63 cases of pelvic inflammatory disease, accounting for 53.4%; and pelvic surgery in patients with 365 cases, 129 cases of pelvic inflammatory disease, accounting for 35.3%, the difference between the two Statistical significance, P <0.05. Conclusion Ectopic pregnancy and pelvic infection history, abortion history, abdominal surgery is closely related to life in attention to intervention of these risk factors for the prevention of ectopic pregnancy has important clinical significance.