重复异位妊娠的病因及预防措施探讨

目的:探讨重复异位妊娠的病因及预防措施。方法:回顾性分析19例重复异位妊娠的临床资料及治疗情况。结果:19例重复异位妊娠52.63％发生在3年内;97.74％发生在对侧输卵管,5.26％发生在同侧输卵管;19例中有5例行药物保守治疗,另14例行患侧输卵管切除术。手术组中发现10例(71.39％)的患者有不同程度的盆腔粘连,术后病理证实8例(57.14％)的患者合并有慢性输卵管炎。结论:可以认为输卵管炎症、盆腔粘连是引起重复异位妊娠的重要原因,因此积极彻底地治疗盆腔炎性疾病,严格掌握各类计划生育及盆腹腔手术指征,并从首次异位妊娠的防治开始,是预防重复异位妊娠的重要措施。

Study on the Etiologic Factors and Preventive Measures of Repeated Heterotopic Pregnancy

Objective: To explore the etiologic factors and preventive measures of repeated heterotopic pregnancy. Methods:The clinical data of 19 patients with repeated heterotopic pregnancy were retrospectively analysed.Results: Among 19 patients with repeated heterotopic pregnancy, 10(52. 63%) occured within three years, 18(97.74%) occured in contralateral fallopian tube, only one (5.26%) in that of the same side.5 patients were treated medically, and in the other 14 patients tubectomy surgically was performed. In the surgical group there were 10 patients (71.39%) with pelvic adhesion,after operation chronic salpingitis was found in 8 cases (57.14%) .Conclusion: It is suggsted that the salpingitis and pelvic adhesion are the risk factors for repeated heterotopic pregnancy. Effective treatment of pelvic inflammation controling the indications of birth control and pelvic operation and avoiding the first heterotopic pregnancy are the important measures for prevention of repeated heterotopic pregnancy.