输卵管妊娠术后不孕及重复性异位妊娠的危险因素分析

目的调查分析输卵管妊娠术后不孕及重复性异位妊娠的危险因素。方法选取2006年4月-2011年1月进行手术治疗的278例输卵管妊娠患者为研究对象,将其中不同自身基本情况、并发疾病情况和治疗情况患者的重复性异位妊娠发生率及不孕率进行比较。结果不同年龄的重复性异位妊娠发生率及不孕率无显著性差异(P>0.05),而伴有盆腔炎、不孕史、盆腔粘连、输卵管粘连及子宫内膜异位症患者的重复性异位妊娠发生率及不孕率高于其他患者,而开腹手术患者发生率高于腹腔镜手术(P<0.05),差异有统计学意义。结论输卵管妊娠术后不孕及重复性异位妊娠的危险因素包括盆腔炎、不孕史、盆腔粘连、输卵管粘连、子宫内膜异位及开腹手术,应给予充分重视。

Risk Factors of Infertility and Recurrent Ectopic Pregnancy after Tubal Pregnancy Surgery

Objective To discuss the risk factors of infertility and recurrent ectopic pregnancy after tubal pregnancy surgery. Methods From April 2006 to January 2011,278 patients with tubal pregnancy who had been treated surgically in our hospital were selected as research object. They were compared for general conditions, complications, treatment, incidence of recurrent ectopic pregnancy and infertility. Results The incidence of infertility and recurrent ectopic pregnancy showed no significant difference in patients of different ages （P〉0.05） ; for patients who had a history of pelvic inflammatory dis- ease, infertility, pelvic adhesion, tubal adhesion or endometriosis, the incidence of infertility and recurrent ectopic pregnan- cy was significantly higher, and it was also significantly higher in patients undergoing an open surgery than those under- going a laparoscopic surgery,which showed significant difference （P 〈 0.05）. Conclusions The risk factors of infertility and recurrent ectopie pregnancy after tubal pregnancy surgery include pelvic inflammatory disease, history of infertility, pel- vic adhesion, tubal adhesion, endometriosis and open surgery history, to which more attention should be paid.