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目的探讨口服紧急避孕药与异位妊娠的相关性。方法对我院2006～2008年收治口服紧急避孕药后异位妊娠患者33例进行了回顾性分析与总结。结果 33例异位妊娠中服用左炔诺孕酮30例,服用米非司酮3例。异位妊娠流产型居多,占69.70%,非手术治疗治愈率达到51.52%。结论异位妊娠的发生可能与服用紧急避孕药后输卵管功能障碍,导致胚胎异常植入有关;非手术治疗治愈率较高可能与异位妊娠流产型居多相关;口服紧急避孕药后应重视阴道流血症状,警惕异位妊娠,防止误诊误治。
Objective To investigate the correlation between oral emergency contraception and ectopic pregnancy. Methods A retrospective analysis and summary of 33 ectopic pregnancy patients treated with oral contraceptives in our hospital from 2006 to 2008 were retrospectively analyzed. Results 33 cases of ectopic pregnancy taking levonorgestrel in 30 cases, taking mifepristone in 3 cases. Ectopic pregnancy abortion mostly, accounting for 69.70%, non-surgical cure rate of 51.52%. Conclusions The occurrence of ectopic pregnancy may be related to tubal dysfunction after taking emergency contraception, resulting in abnormal implantation of embryos. The higher cure rate of non-surgical treatment may be related to abortion-induced ectopic pregnancy. Vaginal bleeding should be emphasized after oral contraceptives Symptoms, vigilance ectopic pregnancy, to prevent misdiagnosis and mistreatment.