摘要
目的 探讨子宫内膜异位症与输卵管妊娠发病的关系。方法 选择输卵管妊娠患者 16 1例作为观察组 ,同期无输卵管妊娠史其他手术患者 6 5例作为对照组 ,观察两组子宫内膜异位症的阳性率 ,以及观察组中有无子宫内膜异位症对血清CA12 5和EMAb水平的影响。结果 两组子宫内膜异位症阳性率分别为 19.3%和 7.7% (P <0 .0 5 ) ;输卵管妊娠合并子宫内膜异位症 31例中 ,CA12 5阳性率 84 % ,EMAb阳性率 81% ;输卵管妊娠不合并子宫内膜异位症2 0例中CA12 5阳性率 75 % ,EMAb阳性率 15 %。两组EMAb阳性率比较有极显著性差异 (P <0 .0 1)。术中常规检查卵巢黄体部位 ,有 2 7.9%的输卵管妊娠患者为对侧卵巢排卵。结论 子宫内膜异位症是输卵管妊娠发生的重要原因之一 ;输卵管妊娠患者术前检测血清EMAb水平可协助诊断子宫内膜异位症 ,检测CA12 5水平意义不大 ;输卵管妊娠与受精卵的游走密切相关。
Objective It is to discuss the relation between endometriosis and tubal pregnancy.Methods 161 patients with tubal pregnancy were chosen into observation group and 65 patients with no tubal pregnancy who were operated were chosen into control group. The positive rates of endometriosis in the two groups and whether endometriosis had effect on the level of serum CA125 and EMAb were observed.Results The positive rate in observation group was 19.3% and that in control group was 7.7% (P<0.05). 31 patients with tubal pregnancy combined with endometriosis were detected and the positive rate of CA125 was 84% and that of EMAb was 81%. 20 patients with tubal pregnancy uncombined with endometriosis were detected and the positive rate of CA125 was 75% and that of EMAb was 15%. The difference of EMAb positive rate between the two groups was significant (P<0.01). According to the position of ovarian corpus luteum, 27.9% tubal pregnancy patients ovulated from the opposite tubal. Conclusion Endometriosis is one of the important causes of tubal pregnancy. Detecting serum EMAb of tubal pregnancy patients before operation can help diagnosing endometriosis. Tubal pregnancy may be closely related to zygote wandering.
出处
《现代中西医结合杂志》
CAS
2004年第10期1278-1279,共2页
Modern Journal of Integrated Traditional Chinese and Western Medicine
