43例重复异位妊娠发病相关因素分析

摘要

Objective To determine the relative factors of the onset of repeated ectopic pregnancy ( REP ).Methods In this paper,the clinical data of 43 cases with REP, the relationship between the treatment methods of the initial treatment of ectopic pregnancy ( EP )and the location of repeat ectopic pregnancy,the treatment of REP were analysed retrospectively.Results The incidence rate of REP was 13.56％ ( 43/317 ).Every cases had chronic pelvic inflammatory disease history, and 37 cases had infertility history.38 cases had miscarriage history.Most REP happened in the last three years from the first time of ectopic pregnancy happened.The initial treatment and pelvic inflammation have influence on EP.Conclusion The risk factors of onset of REP involves several aspects as follows :repeated miscarriages, pelvic inflammation and infertility,etc.The initial treatment of ectopic pregnancy closely related to REP.%目的分析重复异位妊娠(REP)的发病相关因素.方法回顾性分析43例REP患者的临床资料,首次异位妊娠(EP)的治疗方法与REP发生部位的关系及REP的治疗情况.结果 REP的发生率为13.56%,所有患者都有盆腔炎史,37例有不孕症病史;既往有流产或宫腔操作史38例.多发生在距上次EP发生3年内,与首次EP的治疗方式有关,盆腔炎对REP有影响.结论 REP的发病相关因素是多方面的,反复流产、盆腔炎和不孕症是常见因素,与首次EP的治疗方式密切相关.