摘要
目的了解广州市增城地区首次妊娠发生宫外孕的临床特征和危险因素,为临床预防干预和治疗提供决策依据。方法对首次妊娠宫外孕37例临床特征及危险因素进行回顾性研究,以同期首次正常宫内妊娠60例为对照研究,分析首次妊娠宫外孕的危险因素。结果首次妊娠宫外孕以停经史,下腹部不适和腹痛和不规则阴道流血为主要临床表现,宫外孕发生部位以输卵管壶腹部(51.4%)和伞部(21.6%)居多。肺结核及腹腔结核病史(OR=9.372,p<0.001),性病支原体感染(OR=3.566,p=0.006)是首次妊娠宫外孕的独立的危险因素。结论首次妊娠宫外孕和临床常见宫外孕的临床表现及发生部位类似。预防和及时治疗肺结核及结核性腹膜炎、预防及治疗性病支原体衣原体感染对防止首次妊娠宫外孕极为重要。
Objective To investigate clinical features and risk factors of ectopic pregnancy occurred in first pregnancy in Guangzhou Zengcheng area, and provide decision - making basis for clinical interventions and treatment. Methods 37 cases with first pregnancy occurring ectopic pregnancy were enrolled, their clinical features and risk factors were studied retrospectively, 60 cases with first normal intrauterine pregnancy in the same period as con- trol group, to analyse the risk factors for ectopic pregnancy in first pregnancy. Results Cessation of menstruation, lower abdominal discomfort and pain, irregular vaginal bleeding were the main clinical manifestations for the first time pregnancy with ectopic pregnancy, ectopic pregnancies mainly occurred in fallopian tube ampulla （51.4%） and timbria （21.6%）. History of tuberculosis and abdominal tuberculosis （ OR = 9. 372, p 〈0 o01 ）, sexually transmitted diseases, mycoplasma and/or chlamydia infection （ OR = 3. 566, p = 0. 006） were the independent risk factors for ectopic pregnancy in first pregnancy. Conclusion The clinical manifestations and occurrence sites for ectopic pregnancy in first pregnancy were similar as that of clinical common ectopic pregnancy. Prevention and timely treatment of tuberculosis and tuberculous peritonitis, sexually transmitted diseases chlamydia and mycoplasma infection are extremely vital for prevention to ectopic pregnancy in first pregnancy.
出处
《现代医院》
2011年第4期51-53,共3页
Modern Hospitals
关键词
首次妊娠
宫外孕
危险因素
First pregnancy, Ectopic pregnancy, Risk factors
