重复异位妊娠的临床处理策略

为了探讨重复异位妊娠适宜的临床治疗方案,对2006年1月至2006年12月我科收治的251例异位妊娠中42例重复异位妊娠患者的资料进行回顾性分析,资料显示:重复异位妊娠的发病率为16.7%(42/251),平均发病年龄30.7岁,42例患者中异位妊娠部位与上次发生在同侧输卵管12例,对侧输卵管30例,两次异位妊娠发生间隔的时间最短为2个月,最长为9年,平均3.2年。其中10例为第3次异位妊娠。此次患病手术治疗25例,包括切除输卵管13例,保守性手术12例。因盆腔炎症和保守性手术是重复异位妊娠的危险因素,预防和彻底治疗盆腔炎症是降低重复异位妊娠发生的重要手段,采取保守性治疗或保守性手术时应慎重考虑其对患者将来生育和心理的影响。

Clinical Treatment Strategy of Recurrent ectopic Pregnancy

To determine the better treatment strategy of recurrent ectopic pregnancy （REP）, 42 cases of REP were analyzed retrospectively in our department from January 2006 to December 2006. The incidence rate of REP is 16.7 %（42/251 ）. The average age was 30.7 years old. Forty two patients include the homolateral oviduct in 12 cases and contralateral oviduct in 30 cases. The interval between the REP were 2 months to 9 years, with an average of 3.2 years among them.. There are 10 patients suffering from 3 times of ectopic pregnancies. 25 patients were operated involved removing in 13 eases and re- maining tube in 12 cases. Because pelvic inflammation and conservative treatment are the risk factors of REP, effective treatment of pelvic infection and avoiding of first ectopic pregnancy are the important measures for prevention of REP. Ac- cording to the affections of reproduction and psychology,the methods of treatment REP should be selected carefully.