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目的:探讨输卵管妊娠的病因变化。方法:对1989年至1998年收治的264例输卵管妊娠病例的病因变化分析。结果:多胎次妊娠及人工流产致输卵管妊娠发病比率明显增高(P<0.05),初次妊娠为输卵管妊娠发病比率明显降低( P< 0. 05),输卵管结扎术、宫内节育器、下腹部手术史以及与输卵管相关疾病引起输卵管妊娠的发病率无明显改变。结论:应加强计生宣传,提高人工流产技术及输卵管疾病的防治,以预防输卵管妊娠的发生。
Objective: To investigate the etiology of tubal pregnancy. Methods: The etiology of 264 cases of tubal pregnancy treated from 1989 to 1998 were analyzed. Results: The incidence of tubal pregnancy caused by multiple pregnancy and induced abortion was significantly higher (P <0.05), the incidence of tubal pregnancy was significantly lower in the first trimester pregnancy (P <0.05), tubal ligation, intrauterine contraceptive device There was no significant change in the history of abdominal surgery and the incidence of tubal pregnancy associated with tubal disease. Conclusion: Family planning advocacy should be strengthened to improve abortion techniques and prevention and treatment of tubal disease so as to prevent the occurrence of tubal pregnancy.