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目的 探讨再次输卵管妊娠的相关因素。方法 1996年 8月至 2 0 0 3年 8月对广东省高州市妇幼保健院妇产科 2 8例再次输卵管妊娠患者首次输卵管妊娠的临床资料进行回顾性分析 ,并以同期收治的 5 6例初次输卵管妊娠患者的临床资料为对照。结果 多变量分析再次输卵管妊娠发生的相关因素有 :输卵管吻合术 (OR=6 2 74 ,P =0 0 4 3) ;输卵管炎 (OR =5 4 85 ,P =0 0 0 0 ) ;无避孕措施 (OR =11 2 9,P =0 0 0 2 ) ;避孕措施为不严格工具避孕 (OR =4 75 ,P =0 0 4 6 ) ;输卵管切除加对侧绝育 (OR =0 0 6 ,P =0 0 4 9) ;口服避孕药 (OR =0 10 ,P =0 0 5 0 ) ;药物保守治疗 (OR =0 33,P =0 0 0 2 )。结论 输卵管吻合术、输卵管炎、无避孕措施和不严格工具避孕为危险因素 ;输卵管切除加对侧绝育、口服避孕药和药物保守治疗是保护性因素
Objective To investigate the related factors of tubal pregnancy again. Methods From August 1996 to August 2003, retrospective analysis was performed on the first tubal pregnancy in 28 patients with tubal pregnancy in Gynecology and Obstetrics Department of Maternal and Child Health Hospital of Gaozhou City, Guangdong Province. From August 1996 to August 2003, 56 cases The clinical data of patients with primary tubal pregnancy as a control. Results Multivariate analysis showed that tubal anastomosis (OR = 62 74, P = 0 043), salpingitis (OR 54 455, P = 0 0 0 0), and no contraception (OR = 11 2 9, P = 0 0 0 2); Contraceptive measures were contraindicated without strict tools (OR = 4 75, P = 0 0 4 6); tubal resection plus contralateral sterilization (OR = P = 0 0 4 9); oral contraceptives (OR = 0 10, P = 0 0 50); conservative treatment (OR = 0 33, P = 0 0 0 2). Conclusions Tubal anastomosis, salpingitis, non-contraceptive measures and non-contraceptive contraception are risk factors; tubal resection plus contralateral sterilization, oral contraceptives and conservative treatment are protective factors