摘要
目的 :分析重复多次异位妊娠的诊断、治疗及结局。方法 :回顾性分析 1 995年 5月至 2 0 0 0年 1 2月我院 1 6例重复 2次以上异位妊娠的诊断 ,前次妊娠盆腔粘连情况、治疗方式与本次妊娠之间的关系。结果 :重复 2次以上异位妊娠 1 6例 ,发生率为 0 697% ,重复异位妊娠发生于原患侧与对侧比例基本相同。经腹保守性手术后再次异位妊娠 85 7%发生于原患侧 ,腹腔镜保守手术无同侧复发 ,两者有显著差异 (P <0 .0 5)。药物保守后原患侧再次异位妊娠与保守性手术相比无差异 (P >0 .0 5)。结论 :异位妊娠药物保守治疗与保守手术效果相近。如何防止异位妊娠重复发生 。
Objectives:To analyze the diagnosis,treatment and outcomes of 16 cases with recurrent ectopic pregnancy.Methods:A retrospective survey of recurrent ectopic pregnancy (for more than 2 times) in our hospital during May.1995 to Dec.2000 was carried out to analyze the relationship between the pelvic adhesion and the treatment method.Results:There were 16 cases of recurrent ectopic pregnancy,the incidence was 0.697%.The frequency occurred on the same side of fallopian tube was similar to the contralateral side. 85.7% of the recurrent tubal pregnancy occurred on the same side after conservative surgery by laparetomy but not by laparoscopy,( P < 0.05 ).The recurrency after medical conservative therapy was similar to that after conservative surgery( P >0.05).Conclusions:Medical treatment and conservative surgery had the same result.Foufwrther research is required to prevent recurrent ectopic pregnancy and to improve uterogestation.
出处
《实用妇产科杂志》
CAS
CSCD
北大核心
2002年第6期362-363,共2页
Journal of Practical Obstetrics and Gynecology
关键词
重复异位妊娠
药物保守
保守性手术
诊断
治疗
Recurrent ectopic pregnancy
Ectopic pregnancy
Medical conservative therapy
Conservative surgery
