基础医学与临床 ›› 2012, Vol. 32 ›› Issue (6): 707-708.

• 临床园地 • 上一篇    下一篇

异位妊娠246例临床探讨与分析

周正1,王鑫沈旭娜1   

  • 收稿日期:2011-12-15 修回日期:2012-04-25 出版日期:2012-06-05 发布日期:2012-05-25
  • 通讯作者: 周正 E-mail:JEFF523@163.COM

Clinical study of 246 cases of ectopic pregnancy with the analysis

  • Received:2011-12-15 Revised:2012-04-25 Online:2012-06-05 Published:2012-05-25

摘要: 摘要 目的 探讨异位妊娠的主要病因及各种治疗方法对异位妊娠治疗的临床价值,提高对异位妊娠的认识。方法 回顾分析2010年1月至12月一年间所收治的246例异位妊娠病例的临床资料,其中药物保守治疗的136例,其中33例转手术治疗。手术治疗共141例,55例腹腔镜下病灶切除或输卵管造口。结果 本研究246例异位妊娠患者,有人流或药流病史的190例,占77.24%,腹腔镜下病灶切除或输卵管造口术55例,占手术比例的41.78%结论人流或药流若并发感染可造成慢性输卵管炎盆腔炎等增加异位妊娠的发病率,因此降低人工流产对预防异位妊娠的发生极为重要。腹腔镜技术损伤小,恢复快,住院时间短,用药少,外观好在治疗异位妊娠中已发挥越来越重要的作用。

关键词: 关键词 异位妊娠, 人流药流, 腹腔镜手术

Abstract: Abstract Objective Discussion on the main causes of ectopic pregnancy and the various methods of treatment of ectopic pregnancy treatment clinical value, improve understanding on ectopic pregnancy. Method Retrospective analysis of 2010 January to December year the hospital treated 246 cases of ectopic pregnancy cases, the conservative treatment of 136 cases including 33 cases of operation treatment, turn. Operation treatment of 141 cases, 55 cases of laparoscopic resection of lesions or tubal ostomy. Result The study of 246 cases of patients with ectopic pregnancy, abortion or medical abortion history has 190 cases, accounting for 77.24%, laparoscopic resection of lesions or salpingostomy in 55 cases, accounting for the proportion of operation 41.78% conclusion abortion or medical abortion if concurrent infection can cause chronic tubal inflammation of pelvic inflammatory disease and increase the incidence of ectopic pregnancies, thus reduce the artificial abortion on the prevention of ectopic pregnancy occurs extremely important. Laparoscopic technique of little injury, quick recovery, shorter hospitalization time, use less, appearance in treatment of ectopic pregnancy has played an increasingly important role in.

Key words: Key word: ectopic pregnancy , stream flow , laparoscopic operation