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目的 分析重复异位妊娠的发病因素及结局。方法 回顾性调查 1 996年 1月～ 1 999年 1 2月我院 1 0 47例异位妊娠、重复异位妊娠发生的情况 ,分析首次异位妊娠的治疗方法、重复异位妊娠前末次妊娠的情况、重复异位妊娠前宫腔操作情况及首次异位妊娠所见输卵管炎症情况与重复异位妊娠之间的关系。结果 1 0 47例异位妊娠中发生重复异位妊娠 83例 ,占 7.9% ,两次异位妊娠的间隔从 3个月到 1 3年 ,81 .9%重复异位妊娠是连续两次异位妊娠。 91 .4%输卵管切除术者的重复异位妊娠发生在对侧 ;而保守性治疗者 ,84.0 %在原患侧 ,两者间的差异有显著性 (P <0 .0 5 )。输卵管有肉眼炎症表现者 ,84.9%的病例重复异位妊娠发生在炎症侧 ,而重复异位妊娠发生在无肉眼炎症侧者仅为 33.3% (P <0 .0 1 )。结论 保守性治疗与输卵管炎症是重复异位妊娠的危险因素。
Objective To analyze the etiological factors and outcomes of repeated ectopic pregnancy. Methods A retrospective survey of 1 47 cases of ectopic pregnancy and repeat ectopic pregnancy in our hospital from January 1996 to January 1999 was conducted to analyze the treatment of the first ectopic pregnancy and the last pregnancy before repeated ectopic pregnancy , The situation of uterine operation before repeat ectopic pregnancy and the relationship between tubal inflammation seen in first ectopic pregnancy and repeated ectopic pregnancy. Results Totally 83 ectopic pregnancies occurred in 107 cases of ectopic pregnancies, accounting for 7.9%. The interval between two ectopic pregnancies was from 3 months to 13 years. 81.9% of the patients had repeated ectopic pregnancies twice a week Pregnancy. 91.4% of tubal resection patients with repeated ectopic pregnancy occurred in the contralateral; and conservative treatment, 84.0% in the original side, the difference between the two was significant (P <0. Tubal inflammation of the naked eye, 84.9% of cases of repeat ectopic pregnancy occurred in the inflammatory side, and repeated ectopic pregnancy occurred in no side of the eye inflammation was only 33.3% (P <0.01). Conclusions Conservative treatment and tubal inflammation are risk factors for repeated ectopic pregnancy.