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目的:探讨输卵管妊娠的发病因素、诊断及治疗。方法:回顾性分析该院2005年1月~2008年1月收治的输卵管妊娠458例。结果:发现盆腔炎症尤其是人工流产术后所致盆腔炎症是输卵管妊娠发病的重要因素;剖宫产术后盆腔粘连与输卵管妊娠的发病有关。停经、腹痛、阴道流血仍是输卵管妊娠的主要症状。而β-hCG测定、高分辨B超为输卵管妊娠早期诊断提供了帮助。输卵管切除术为治疗输卵管妊娠的传统方法,保守性手术与药物治疗为保留患者的生育功能开辟了广阔前景。结论:及时诊断、正确治疗是取得良好预后的关键。
Objective: To investigate the incidence of tubal pregnancy, diagnosis and treatment. Methods: A retrospective analysis of the hospital from January 2005 to January 2008 458 cases of tubal pregnancy. Results: Found that pelvic inflammatory disease, especially after induced abortion caused by pelvic inflammatory disease is an important factor in the incidence of tubal pregnancy; pelvic adhesions after cesarean section and the incidence of tubal pregnancy. Menopause, abdominal pain, vaginal bleeding is still the main symptoms of tubal pregnancy. The β-hCG determination, high-resolution B-for the early diagnosis of tubal pregnancy has provided help. Tubal excision for the treatment of tubal pregnancy, traditional methods, conservative surgery and drug treatment for the retention of patients with fertility has opened up a broad prospect. Conclusion: Timely diagnosis and correct treatment are the keys to good prognosis.