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[1]罗 悦,武江玉.重复异位妊娠的危险因素与防范对策的探讨[J].医学研究与战创伤救治(原医学研究生学报),2008,10(03):184.
　LUO Yue,WU Jiang-yu.Study on risk factors of repeated ectopic pregnancy and preventive measures[J].JOURNAL OF MEDICALRESEARCH —COMBAT TRAUMA CARE,2008,10(03):184.
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重复异位妊娠的危险因素与防范对策的探讨()
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《医学研究与战创伤救治》（原医学研究生学报）[ISSN:1672-271X/CN:32-1713/R]

卷:
第10卷
期数:
2008年03期
页码:
184
栏目:
出版日期:
2008-05-20

文章信息/Info

Title:
Study on risk factors of repeated ectopic pregnancy and preventive measures
文章编号:
1672-271X(2008)03-0184-03
作者:
罗 悦1 ; 武江玉2
1.解放军第94医院门诊部,江西南昌 330002；2.江西省妇女保健院妇科,江西南昌 330006
Author(s):
LUO Yue1; WU Jiang-yu2
1. Department of Outpatient, the 94th Hospital of PLA, Nanchang 330002, Jiangxi, China 2. Department of Gynecology,Jiangxi Maternal and Health Hospital, Nanchang 330006, Jiangxi,China
关键词:
重复异位妊娠; 术式; 炎症
Keywords:
Recurrent ectopic pregnancy;  Modus operandi; Inflammation
分类号:
R714.22
DOI:
-
文献标志码:
A
摘要:
目的 探讨重复异位妊娠发生的危险因素及防范对策。方法 回顾性分析在491例异位妊娠中30例重复异位妊娠患者的资料。结果 重复异位妊娠的发病率为6.1%。平均年龄29.5岁。有流产史21例，有慢性盆腔炎史12例，不孕史9例。首次异位妊娠行患侧输卵管切除13例，重复异位妊娠部位发生在对侧者7例，同侧仅6例。首次异位妊娠保守性手术治疗17例，重复异位妊娠发生在对侧7例，同侧10例。术中发现有盆腔粘连19例。结论 反复流产、不孕史是异位妊娠的不良病史，无有效避孕措施、盆腔粘连、输卵管炎症表现和保守性手术治疗是重复异位妊娠发生的危险因素。治疗方法为加强健康教育，积极治疗不孕症和盆腔炎性疾病，选择正确的手术方式。
Abstract:
Objective To investigate the risk factors of recurrent ectopic pregnancy(REP) and preventive measures.Methods A retrospective study was performed. This study was carried out in 30 cases of REP out of 491 cases of ectopic pregnancy. Results The incidence rate of REP was 6.1% (30/490). The average age was 29.5 years old. 21 cases had miscarriage history, 12 cases had chronic pelvic inflammatory disease history, and 9 cases had infertility history. 13 cases of ectopic pregnancy in the first time were operated with salpingectomy, but the REP happened to the con-tralateral oviduct in 7 cases and the homolateral oviduct in 6 cases. 17 cases of ectopic pregnancy in the first time were conservative treatment, but the REP happened to the con-tralateral oviduct in 7 cases and the homolateral oviduct in 10 cases. Operation revealed pelvic adhension in 19 cases. Conclusion Repeated miscarriage and infertility history are the unhealthy medical record. Ineffective contraception methods, pelvic adhension, inflamed salpinx and conservative treatment are risk factors of REP. To enhance health education，effective treatment of infertilitas feminis and pelvic inflammation and selecting correct treatment modus operandi of the first heterotopic pregnancy are the important measures for prevention of REP.

参考文献/References:

[1]蔡 坚,黄顺英.重复异位妊娠的危险因素探讨[J].中山医科大学学报,2002,23(4):303-305.
[2]张群芳,吴元赭.重复异位妊娠的临床分析[J].医学研究生学报，2005,18(5): 429-431.
[3]康健中.重复异位妊娠83例临床分析[J].上海医学,2000,23(10): 612-613.
[4]王海英,姚书忠,闻安民. 输卵管妊娠保守性手术后重复异位妊娠发生的多因素分析[J].中山大学学报(医学科学版),2007,28(2):218-221.
[5]Bangsgaard N, Lund CO, Ottesen B, et al. Improved fertility following conservative surgical treament of ectopic pregnancy[J].Br J Obstet Gynecol,2003，110 (8):765-770.
[6]王海英,闻安民,姚书忠,等. 输卵管妊娠手术治疗后再次妊娠的时间探讨 [J].南方医科大学学报,2007,27(1):104-106.
[7]徐 涛,王秀梅,秦秀朵,等. 重复性异位妊娠病因分析及治疗体会[J].西南军医,2006,8(3):49-50.

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备注/Memo

备注/Memo:
-
更新日期/Last Update: 2013-11-22