异位妊娠246例临床资料回顾与分析

目的探讨异位妊娠的主要病因及各种治疗方法对异位妊娠治疗的临床价值,提高对异位妊娠的认识。方法回顾分析2010年1-12月1年间所收治的246例异位妊娠病例的临床资料,其中药物保守治疗136例,转手术治疗33例。手术治疗共141例,55例腹腔镜下病灶切除或输卵管造口。结果本研究246例异位妊娠患者,有人流或药流病史的190例,占77.24%,腹腔镜下病灶切除或输卵管造口术55例,占手术比例的41.78%。结论人流或药流若并发感染可造成慢性输卵管炎、盆腔炎等增加异位妊娠的发病率。腹腔镜技术损伤小,恢复快,住院时间短,用药少,外观好,在治疗异位妊娠中已发挥越来越重要的作用。

Review and analysis of clinical data of 246 cases of ectopic pregnancy

Objective To find the main causes of ectopic pregnancy and the various methods of treatment of ectopic pregnancy treatment to better understand ectopic pregnancy.Methods Retrospective analysis of hospital treated 246 cases of ectopic pregnancy cases from January to December of 2010,including 136 cases of the conservative treatment,33 cases turn to operation treatment.141 cases of operation treatment,55 cases of laparoscopic resection of lesions or tubal ostomy.Results In the 246 cases of patients with ectopic pregnancy 190 cases had abortion or medical abortion history,accounting for 77.24%,laparoscopic resection of lesions or salpingostomy in 55 cases,accounting for the proportion of operation 41.78%.Conclusions Abortion or medical abortion with concurrent infection can cause chronic tubal inflammation of pelvic inflammatory disease and increase the incidence of ectopic pregnancies.As laparoscopic technique has little injury,quick recovery,shorter hospitalization time,appearance in treatment of ectopic pregnancy has played an increasingly important role.