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目的探讨重复性异位妊娠的起病原因,起病特点为临床诊治提供参考。方法收集我院自2008年1月～2012年1月重复性异位妊娠的患者50例,平均年龄为(33.78±2.3)岁,年龄范围21～39岁。对纳入患者的妊娠总次数,发生首次异位妊娠时盆腔的情况、妊娠发生的部位、临床治疗进行回顾性分析,并总结其与重复性异位妊娠之间的联系。结果 50例纳入患者中妊娠次数<4次的有7例,妊娠次数>6次的有3例,其中盆腔粘连的占85.1%。异位妊娠行输卵管切除术对侧发病,占88.9%,而保守治疗占33.3%。两者比较差异有统计学意义P<0.01。结论重复性移位妊娠与输卵管炎症,妊娠的次数及前一次移位妊娠后的结局密切相关。
Objective To investigate the causes of repetitive ectopic pregnancy, onset characteristics for clinical diagnosis and treatment provide a reference. Methods Fifty patients with repeat ectopic pregnancy in our hospital from January 2008 to January 2012 were collected. The mean age was (33.78 ± 2.3) years old and the age range was 21 ~ 39 years old. The total number of pregnancies included in the patients, the incidence of the pelvis at the time of the first ectopic pregnancy, the location of the pregnancy, and the clinical treatment were retrospectively analyzed and the association with repeated ectopic pregnancy was summarized. Results Among the 50 patients, 7 were included in the study. The number of pregnancies was less than 4, and the number of pregnancies was 6. There were 3 cases in which pelvic adhesions accounted for 85.1%. Ectopic pregnancy tubal excision contralateral incidence, accounting for 88.9%, while conservative treatment accounted for 33.3%. The difference between the two was statistically significant (P <0.01). Conclusions Repeated displacement of pregnancy and tubal inflammation, the number of pregnancies and the outcome of the previous shift pregnancy are closely related.