异位妊娠相关因素分析

目的探讨异位妊娠发病相关因素，为采取切实可行的预防措施提供参考。方法采用回顾性调查法，对205例异位妊娠的孕妇病史资料进行调查，将异位妊娠作为观察组，同期宫内妊娠作为对照组，比较两组在妇科炎症史、孕产史、腹部手术、宫内节育器、异位妊娠史、文化程度、婚姻、月经周期等方面的差异，并且进行统计学分析。结果6804例孕妇中异位妊娠患者205例，发生率为2．87％，发病相关因素：妇科炎症、多次孕产、有腹部手术史、带宫内节育器、异位妊娠史及文化程度低、已婚月经紊乱等。结论异位妊娠发生率较高，发生与多种因素相关，应加强对妇女的性健康教育，及时治疗妇科炎症，倡导采取安全、有效的避孕措施，减少宫腔手术率和剖宫产手术率，改进操作技术和手术前后的管理。

Clinical analysis of the related factors of ectopic pregnancy

Objective To explore the factors that can cause ectopic pregnancy,in the view of different related factors to take practical preventive measures to reduce the morbidity. Methods a retrospective survey was taken,to investigate the clinical data of women in early pregnancy in our hospital during Jan. 2003 to Dec. 2007. Taking ectopic pregnancy women as the treat group and early pregnancy women as the control group. To compare the differences between the two groups in gynecological inflammation history, pregnancy history, abdominal surgery, IUD, education,marriage,the menstrual cycle ect. Then carried out statistical comparison. Results There are 195 pregnant women with ectopic pregnancy among 6804 cases. The occurrence rate is 2. 87%. The related factors are:gynecological inflammation, many times maternity, abdominal surgery, IUD, ectopic pregnancy, low education, menstrual disorder after married ect. Conclusion The occurrence rate of the ectopic pregnancy are relatively high, It is related to various reasons, we need to strengthen the education of the women's sexual health education, treat the gynecological inflammation on time,take safe and effective contraception measures,reduce the rate of intrauterine surgery and cesarean section surgery, improve the operation technology and the management before and after surgery.