98例异位妊娠发病相关因素及临床分析

目的：探讨异位妊娠的发病相关因素及早期诊断和治疗方法。方法：回顾性分析2006年1月～2010年1月本院收治的98例异位妊娠患者的临床资料,对盆腔炎史、流产史、宫内节育器史、异位妊娠史等相关因素及早期诊断及治疗进行分析。结果：盆腔炎性病变、流产史、宫内节育器史及盆腔手术史对异位妊娠的发生有明显的影响;超声及血β-HCG是早期诊断的主要方法;手术治疗仍是主要治疗方法。结论：异位妊娠的致病因素复杂,盆腔炎性病变、流产史、宫内节育器史、异位妊娠史及手术史是异位妊娠发生的危险因素,其中盆腔炎性病变为根本原因。结合病史、体征及相关辅助检查能早期诊断异位妊娠,减少手术治疗,为采用保守治疗提供时机和依据。

Analysis clinical data and related factors of 98 cases of ectopic pregnancy

Objective：To investigate the incidence of ectopic pregnancy-related factors and early diagnosis and treatment methods. Methods：Retrospective analysis from January 2006 to January 2010,98 cases of ectopic pregnancy treated patients with clinical information on the history of pelvic inflammatory disease,abortion,IUD history,history of ectopic pregnancy and other related factors and early diagnosis and treatment of analysis. Results：The pelvic inflammatory disease,abortion,IUD history and history of pelvic surgery on the incidence of ectopic pregnancy had significant effects; ultrasound and serum β-HCG was the primary method of early diagnosis; surgical treatment was still the main treatment. Conclusion：The ectopic pregnancy risk factors is complex,including pelvic inflammatory disease becomes the most fundamental reasons. Combination of history,signs and laboratory examinations related to early diagnosis of ectopic pregnancy,and to reduce the surgical treatment,with conservative treatment of the timing and basis.