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目的探讨藏区妇女异位妊娠的发病因素。方法根据患者是否来自于藏区(甘孜、阿坝),将2013~2015年中航工业三六三医院收治的异位妊娠病例356例分为藏区组和非藏区组,进行回顾性分析。结果在异位妊娠的病因上,两组患者生产次数、人工流产、服用紧急避孕药方面比较,差异有统计学意义(P<0.05),而在盆腔炎症、放置宫内节育器史、异位妊娠发病史、盆腔手术史等方面,两组间差异无统计学意义(P>0.05)。结论藏区患者生产次数明显多于非藏区患者,是当地异位妊娠的特殊病因。而在人工流产、紧急避孕药服用上,藏区患者明显少于非藏区患者,并不构成藏区异位妊娠的主要病因。
Objective To investigate the incidence of ectopic pregnancy in Tibetan women. Methods According to whether the patients came from Tibetan areas (Ganzi and Aba), 356 cases of ectopic pregnancy treated by AVIC 3663 Hospital from 2013 to 2015 were divided into Tibetan group and non-Tibetan group for retrospective analysis. Results The etiology of ectopic pregnancy, the number of production of two groups of patients, induced abortion, taking emergency contraception, the difference was statistically significant (P <0.05), and in pelvic inflammatory disease, IUD history, ectopic Pregnancy history, history of pelvic surgery and so on, there was no significant difference between the two groups (P> 0.05). Conclusion The number of patients in Tibetan area was significantly higher than that of non-Tibetan patients, which was a special cause of local ectopic pregnancy. In the abortion, emergency contraception taking, Tibetan patients was significantly less than non-Tibetan patients, does not constitute the main etiology of Tibetan ectopic pregnancy.