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目的:分析异位妊娠的发病原因,为预防和治疗提供保障。方法:2010年1月～2012年2月随机选取我院120例移位妊娠患者(观察组)和120例正常孕产妇(对照组),根据临床资料对比分析移位妊娠的发病危险因素。结果:观察组的重复性异位妊娠史、不孕史、口服避孕药、人工流产史、剖宫产史、初次妊娠史、宫内放置节育环史、输卵管结扎术史、手术史的发生率高于对照组,差异比较有统计学意义(P<0.05)。通过Logistic回归分析显示盆腔炎、人工流产史、剖宫产史、宫内放置节育环史、输卵管结扎术史为引发移位妊娠的危险因素。结论:盆腔炎、人工流产史、剖宫产史、宫内放置节育环史、输卵管结扎术史为引发移位妊娠的危险因素,其中人工流产是主要的发病因素,提示患者应当加强对人工流产的重视度,降低人工流产手术发生率,采取有效的避孕措施。
Objective: To analyze the etiology of ectopic pregnancy and provide protection for prevention and treatment. Methods: From January 2010 to February 2012, 120 patients with displaced pregnancy (observation group) and 120 normal pregnant women (control group) were randomly selected. The risk factors of displaced pregnancy were analyzed according to clinical data. Results: The incidence of repetitive ectopic pregnancy, infertility, oral contraceptives, history of induced abortion, history of cesarean section, first trimester pregnancy, intrauterine placement of contraceptive ring, tubal ligation and operation history Higher than the control group, the difference was statistically significant (P <0.05). Logistic regression analysis showed that pelvic inflammatory disease, abortion history, cesarean section history, intrauterine placement of the history of birth control rings, tubal ligation history as risk factors for transposition of pregnancy. Conclusions: The history of pelvic inflammatory disease, induced abortion, history of cesarean section, intrauterine placement of contraceptive ring and tubal ligation are the risk factors of pregnancy induced by transposition. Including abortion is the main risk factor, suggesting that patients should strengthen the abortion The importance of reducing the incidence of induced abortion, to take effective contraceptive measures.