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重复异位妊娠(repeat ectopic pregnancy,REP)是指首次异位妊娠经手术或保守性治疗(手术或药物)等,再次在子宫外、输卵管、卵巢或腹腔内妊娠。近年来,重复异位妊娠的病例呈增多趋势。输卵管炎和盆腔炎是重复异位妊娠的重要原因,重复异位妊娠会对女性的身心造成极大的伤害,因此,降低异位妊娠发生率,预防重复异位妊娠,正确诊断,及时处理,对于临床妇产科医生十分重要。首先,重复异位妊娠的诊断有三大特点,其次,异位妊娠必须选择适当的治疗方式,术后加强抗炎。治疗方法中保守治疗适用于有生育要求的患者,但应严格掌握保守治疗的适应证,手术治疗中腹腔镜治疗异位妊娠的优越性已被公认,其中有生育要求的患者行保守性手术,但存在风险,对于无生育要求的患者,应行患侧输卵管切除加对侧输卵管结扎。
Repeated ectopic pregnancy (REP) refers to the first ectopic pregnancy after surgery or conservative treatment (surgery or drugs), again in the uterus, tubal, ovarian or intraperitoneal pregnancy. In recent years, repeat ectopic pregnancy cases showed an increasing trend. Salpingitis and pelvic inflammatory disease are important causes of repeated ectopic pregnancy. Repeated ectopic pregnancy can cause great harm to the female body and mind. Therefore, reducing the incidence of ectopic pregnancy, preventing repeated ectopic pregnancy, correctly diagnosing and treating in time, For clinical obstetrician is very important. First of all, the diagnosis of repeated ectopic pregnancy has three major characteristics, and secondly, ectopic pregnancy must choose the appropriate treatment, postoperative anti-inflammatory. Conservative treatment of treatment for patients with reproductive requirements, but should be strictly controlled indications of conservative treatment of laparoscopic surgical treatment of the advantages of ectopic pregnancy has been recognized, including fertility requirements of patients undergoing conservative surgery, However, there is a risk, for patients without fertility requirements, should be affected by tubal resection plus contralateral tubal ligation.