藏区妇女异位妊娠发病因素探讨

目的探讨藏区妇女异位妊娠的发病因素。方法根据患者是否来自于藏区(甘孜、阿坝),将2013~2015年中航工业三六三医院收治的异位妊娠病例356例分为藏区组和非藏区组,进行回顾性分析。结果在异位妊娠的病因上,两组患者生产次数、人工流产、服用紧急避孕药方面比较,差异有统计学意义(P0.05),而在盆腔炎症、放置宫内节育器史、异位妊娠发病史、盆腔手术史等方面,两组间差异无统计学意义(P0.05)。结论藏区患者生产次数明显多于非藏区患者,是当地异位妊娠的特殊病因。而在人工流产、紧急避孕药服用上,藏区患者明显少于非藏区患者,并不构成藏区异位妊娠的主要病因。

Discussion on risk factors of ectopic pregnancy in Tibetan women

Objective To explore the risk factors of ectopic pregnancy in Tibetan women.Methods According to whether the patients were from the Tibetan area (Ganzi, Aba), 356 cases of ectopic pregnancy treated in China Aviation Industry 363 Hospital from January 2013 to December 2015 were divided into two groups and retrospective analysis was carried out.Results In the cause of ectopic pregnancy, two groups of patients were compared in number of production, abortion and taking emergency contraception.The differences were statistically significant(P<0.05).But in the pelvic inflammatory disease, history of intrauterine device, ectopic pregnancy and pelvic surgery, the differences between the two groups were not statistically significant(P>0.05).Conclusion The number of production is more in Tibetan patients than in non-Tibetan patients, which is a special cause of local ectopic pregnancy.Abortion and emergency contraceptives are much less in Tibetan patients than in non-Tibetan patients.Thus they do not constitute to the main cause of ectopic pregnancy in Tibetan areas.