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目的分析引起输卵管妊娠手术治疗后不同生殖状况的相关因素,探讨改善生殖状况,提高宫内妊娠率的方法。方法对自1999-01-2003-12在中山大学附属第一医院等两家医院的424例输卵管妊娠患者经腹腔镜或剖腹手术治疗后患者生殖状况及其相关影响因素进行多重Logistic回归分析及χ2分析,找出引起术后不孕及重复性异位妊娠的原因。结果424例患者术后宫内妊娠177例,占41·7%;出现重复性异位妊娠102例,占24·1%;有145例患者术后仍然未孕,占34·2%。多重Logistic回归分析提示,盆腔炎、不孕、异位妊娠、输卵管手术、输卵管粘连、输卵管伞端闭锁是输卵管妊娠术后不孕及重复性异位妊娠的危险因素。结论积极预防盆腔病变,治疗不孕症是改善输卵管妊娠术后生殖状况的重要手段。
Objective To analyze the related factors of different genital conditions after tubal pregnancy surgery, and to explore ways to improve the reproductive status and improve the intrauterine pregnancy rate. Methods Multiple logistic regression analysis was performed on the reproductive status and related factors between 424 patients with tubal pregnancy who underwent laparoscopic or laparotomy in two hospitals of the First Affiliated Hospital of Sun Yat-sen University from January 1999 to December 2003. Analysis to find out the cause of postoperative infertility and repetitive ectopic pregnancy. Results Among 424 patients, 177 cases were intrauterine pregnancy, accounting for 41.7%. There were 102 cases of repeated ectopic pregnancy, accounting for 24.1%. 145 cases were still not pregnant after operation, accounting for 34.2%. Multiple logistic regression analysis showed that pelvic inflammatory disease, infertility, ectopic pregnancy, tubal surgery, tubal adhesions, tubal umbrella terminal block is tubal pregnancy infertility and repeated ectopic pregnancy risk factors. Conclusion Active prevention of pelvic lesions, treatment of infertility is an important means to improve postoperative reproductive status of tubal pregnancy.