摘要
目的:探讨异位妊娠经手术治疗后重复性异位妊娠的发生率及其危险因素。方法:回顾性纳入2008年至2013年医院经手术治疗的419例异位妊娠患者,收集人口统计学和临床资料。追踪患者术后生殖结局12~60月,按生育结局分为重复性异位妊娠组和非重复性异位妊娠组。采取多因素logistic回归分析重复性异位妊娠组的危险因素。结果:78例(18.6%)患者出现重复性异位妊娠,在logistic回归模型中,盆腔感染史(OR=14.21)、人工流产史(OR=2.21)、不孕史(OR=2.30)、对侧输卵管病变(OR=6.38)、开腹手术(OR=7.43)和子宫内膜异位症(OR=1.98)为重复性异位妊娠的危险因素。结论:对于首次异位妊娠患者,选择腹腔镜手术治疗,术后积极预防盆腔感染等危险因素的发生是预防重复性异位妊娠的重要手段。
Objective： To explore the incidence and risk factors of repeated ectopic pregnancy（REP） after surgery. Methods： 419 EP patients treated with surgery from 2008 to 2013 were retrospectively enrolled in this study,and their demographic and clinical data were collected.The reproductive outcomes were followed up for a period of 12 ~ 60 months and patients were divided into REP group and non-REP group based on their reproductive outcomes. Multiple logistic regression was performed to assess the risk factors of REP. Results： 78（18. 6%） patients experienced REP. According to the logistic regression model,the risk factors of REP were as follow： pelvic infection（OR=14.21）,artificial abortion（OR=2.21）,infertility（OR=2.30）,contralateral fallopian tube lesions（OR=6.38）,laparotomy（OR=7.43） and endometriosis（OR=1.98）. Conclusion： The choice of laparoscopic surgery and aggressive prevention of risk factors such as pelvic infection are important strategies to prevent the REP.
作者
杨晋敏
YANG Jinmin(Department of Obstetrics and Gynecology,Xiangyang Traditional Chinese Medicine Hospital,Xiangyang 441000,China)
出处
《包头医学院学报》
CAS
2018年第6期90-92,共3页
Journal of Baotou Medical College
关键词
异位妊娠
重复性异位妊娠
危险因素
Ectopic pregnancy
Repeated ectopic pregnancy
Risk factors
