异位妊娠发生的相关危险因素及诊治分析

目的分析异位妊娠发生的相关危险因素,提出防范措施,降低异位妊娠的发病率。方法采用病例对照研究方法,选择我院妇产科2009年1月—2010年1月收治的120例异位妊娠患者为病例组,对照组为我院同期进行人工流产或药物流产的健康妊娠妇女120例,综合采集病史,对可能影响异位妊娠的因素进行单因素和多因素Logis-tic回归分析。结果多因素分析结果显示,与异位妊娠有关的因素是流产史、剖宫产史和盆腔炎症(OR值分别为5.351,3.460,2.247)。结论流产史、剖宫产史和盆腔炎症是异位妊娠发生的危险因素,其中流产史与异位妊娠的关系最密切,所以降低流产率和剖宫产率,积极治疗和预防盆腔感染是降低异位妊娠发病率的重要措施。

Risk Factors for Ectopic Pregnancy

Objective To determine the risk factors for ectopic pregnancy to help take some prevention measures and reduce morbidityMethods A case-control study of 120 cases of ectopic pregnancy in our hospital from January 2009 to December 2009 and 120 controls of intrauterine pregnancy who did artificial abortion or medical abortion in our outpatient clinic during the same period was performed.The data of the factors that may bring about ectopic pregnancy were collected and analyzed by single-factorial and multi-factorial Logistic regression.Results The multi-factorial analysis confirmed that the risk factors associated with ectopic pregnancy were prior abortion history,cesarean section history and pelvic inflammatory(OR=5.351,3.460,2.247,respectively).Conclusion Ectopic pregnancy is closed correlated with prior abortion history,cesarean section history and pelvic inflammatory,especially prior abortion history.That is why the important measures taken to reduce the morbidity of the ectopic pregnancy are the reduction of abortion rate and cesarean section rate as well as the active treatment and prevention of pelvic infection.