【摘要】 目的:分析异位妊娠发病的相关因素,为临床预防异位妊娠提供决策依据。方法:选取我院2014年1~12月收治的92例异位妊娠患者作为观察组,选取同期收治的95例正常孕妇作为对照组,对两组孕妇盆腔炎,不孕症史,宫外孕史,流产史,避孕史,腹部手术史,吸烟史进行现况调查并做回顾分析。同时对其进行宫颈分泌物的沙眼衣原体、解脲支原体、淋球菌、单纯疱疹病毒2型检测。结果:两组孕妇在流产史,盆腔炎,避孕史,不孕症史,宫外孕史,腹部手术史,吸烟史上均具有统计学差异(P<0.05)。观察组宫颈分泌物衣原体、解脲支原体阳性率高于对照组,经检验差异有统计学意义(P<0.05)。药物流产和人工流产两种不同流产方式孕妇的异位妊娠阳性率分别为74.29%和63.16%,但差异无统计学意义(P>0.05)。结论:影响异位妊娠发病的相关因素有流产史,盆腔炎,避孕史,不孕症史,宫外孕史,腹部手术史,吸烟史。在本研究中流产史为异位妊娠的首发因素,其次为盆腔炎。在预防异位妊娠方面人工流产可能优于药物流产。因此,控制流产,选择合适的人工流产方式及盆腔炎的积极处理是预防异位妊娠发病的关键。更多还原

【Abstract】 Objective: To investigate the etiologic factors associated with incidence of ectopic pregnancy for clinical evidence to prevent the disorder.Methods: Ninety-two cases of ectopic pregnancy admitted to our hospital between January and December of 2014 were included as study group,and 95 women of normal pregnancy admitted in the corresponding period were recruited as control group. Both groups underwent detection of Chlamydia trachomatis,Ureaplasma urealyticum and Neisseria gonorrhoeae and herpes simplex virus type 2 in the cervical secretion,and were maintained regarding the histories of pelvic inflammatory disease,infertility,ectopic pregnancy,abortion,contraception,abdominal surgery and tobacco smoking. Results: The two groups were significant regarding the histories of abortion,pelvic inflammatory disease,contraception,infertility,ectopic pregnancy,abdominal surgery and tobacco smoking( P < 0. 05),and the study group had higher positive rate for Chalamydia and Ureaplasma urealyticum than the controls( P < 0. 05).The incidence of ectopic pregnancy was 74. 29% and 63. 16%,respectively by medical abortion or surgical intervention,the difference was not significant( P > 0. 05). Conclusion: Risk factors for ectopic pregnancy are associated with histories of abortion,pelvic inflammatory disease,contraception,infertility,ectopic pregnancy,abdominal surgery and tobacco smoking. History of abortion is the most causative factors for ectopic pregnancy,followed by pelvic inflammatory disease. Surgical abortion may leads to less incidence of ectopic pregnancy than the drug abortion,suggesting that appropriate option for abortion and management of the pelvic inflammatory disease can reduce incidence of this disorder.更多还原