摘要
目的:分析10年间异位妊娠发病趋势和临床诊治的变化,为进一步临床研究提供资料。方法:收集上海市长宁区中心医院2002～2011年异位妊娠患者的相关临床资料,以及同期妊娠总数、妇科住院病例数;并对异位妊娠发生率的变化趋势,异位妊娠的发生部位、临床诊治的变化进行分析。结果:异位妊娠的发生率逐年升高,2002年为2.43%,2011年为4.43%,二者相比,差异有高度统计学意义(P<0.01)。2011年,异位妊娠诊治中保守治疗占20.05%,较10年前显著增加;腹腔镜手术占54.76%,已明显超过开腹手术,二者相比差异有高度统计学意义(P<0.01)。2007～2011年发生剖宫产术后子宫瘢痕妊娠共23例,与2002～2006年相比,差异有高度统计学意义(P<0.01)。结论:异位妊娠的发生率逐年升高、剖宫产术后子宫瘢痕已成为异位妊娠的好发部位。异位妊娠采取保守治疗和腹腔镜治疗逐年增加。
Objective：To analyze the change of incidence trend and clinical management of ectopic preg- nancy（ EP） in past decade, and to provide the information for the further clinical investigation. Methods：The clinical data of ectopic pregnancies in Shanghai Changning central hospital from 2002 to 2011 were collect- ed, including the number of total pregnancies and the number of gynecologic inpatients. The incidence trend, the changes of lesion site and clinical management of EP were analyzed. Results：The incidence of EP in- creased gradually from 2.43% in 2002 to 4.43% in 2011 ,there was a significant difference （i P 〈0.01 ~）. The conservative management of EP accounted about 20.05% ,which was much more than that in 10 years ago. The laparoscopic surgeries accounted for 54.76%, which was much more than laparotomy operations （i P 〈 0.01 %）. There were 23 cases of EP occurring at cesarean scar from 2007 to 2011 ,which was significantly dif- ferent from those from 2002 to 2006（ P〈0.01 %）. Conclusions：The incidence of EP increases year by year, and Cesarean scar has become a common site of EP. More and more patients who choose conservative therapy for the management EP get a good result.
出处
《实用妇产科杂志》
CAS
CSCD
北大核心
2012年第9期789-792,共4页
Journal of Practical Obstetrics and Gynecology
