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目的:总结分析212例异位妊娠的发病和诊治情况,为预防和治疗提供依据。方法:对2008～2012年新野县保健院收治的212例异位妊娠患者进行回顾性分析。结果:共收治孕妇4 956例,异位妊娠发生率4.28%,且逐年升高,2012年最高5.49%,占5年总数的28.33%;有盆腔炎史者101例(47.64%),流产史者97例(45.75%);经腹部B超诊断符合率为85.71%,经阴道B超的诊断符合率为97.67%;手术治疗179例(84.43%)。结论:异位妊娠发病率逐年升高,且趋于年轻化,应予以重视;发生与盆腔炎史和流产史密切相关;提倡经阴道B超与临床表现和其他辅助检查相结合进行诊断;手术治疗仍是主要治疗方法,腹腔镜手术广泛应用。积极治疗妇科疾病,培养健康的生活方式,不准备生育者应严格避孕,医务人员要严格遵守无菌操作原则和提高异位妊娠的警惕性。
Objective: To summarize and analyze the incidence and diagnosis and treatment of 212 cases of ectopic pregnancy, and to provide basis for prevention and treatment. Methods: A retrospective analysis of 212 cases of ectopic pregnancy admitted to Xinye County Health Center from 2008 to 2012. Results: A total of 4 956 pregnant women were enrolled. The incidence of ectopic pregnancy was 4.28% and increased year by year, up to 5.49% in 2012, accounting for 28.33% of the total in 5 years. There were 101 cases (47.64%) with history of pelvic inflammatory disease and miscarriage history 97 cases (45.75%). The coincidence rate of transabdominal ultrasonography was 85.71%. The coincidence rate of transvaginal ultrasonography was 97.67%. Surgical treatment of 179 cases (84.43%). Conclusion: The incidence of ectopic pregnancy increased year by year, and tend to be younger, should be taken seriously; occurrence and history of pelvic inflammatory disease and abortion are closely related; to promote transvaginal ultrasound and clinical manifestations combined with other auxiliary examination for diagnosis; surgery Treatment is still the main treatment, laparoscopic surgery is widely used. Active treatment of gynecological diseases, to develop a healthy lifestyle, not ready for birth should be strictly contraception, medical staff should strictly abide by the principles of sterile operation and improve the vigilance of ectopic pregnancy.