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目的探讨首次妊娠为异位妊娠的相关危险因素及治疗后生育情况,为降低异位妊娠发生率,提高生育能力提供依据。方法将114例异位妊娠以有无妊娠史分为两组,对其临床资料进行回顾性分析。结果两组的平均年龄比较差异有统计学意义(P<0.05),但停经史、阴道出血、腹痛、妊娠部位和类型,差异均无统计学意义(P>0.05),手术治疗者两组输卵管炎分别是69.7%和44.74%,差异有统计学意义(P<0.05),两组再次异位妊娠、宫内妊娠率、不孕症发生情况差异均无统计学意义。结论输卵管炎和盆腔粘连是首次妊娠为异位妊娠患者和其后生育力下降的主要原因之一。
Objective To investigate the related risk factors of ectopic pregnancy and the fertility after ectopic pregnancy for the first time, so as to provide basis for reducing the incidence of ectopic pregnancy and enhancing fertility. Methods 114 cases of ectopic pregnancy with or without pregnancy history were divided into two groups, the clinical data were retrospectively analyzed. Results The average age of the two groups was significantly different (P <0.05), but there was no significant difference between the two groups in the history of menopause, vaginal bleeding, abdominal pain, pregnancy location and type (P> 0.05) Inflammation were 69.7% and 44.74% respectively, the difference was statistically significant (P <0.05). There was no significant difference between the two groups in ectopic pregnancy, intrauterine pregnancy rate and infertility. Conclusions Salpingitis and pelvic adhesions are one of the main causes of the first pregnancy after ectopic pregnancy and subsequent decline of fertility.