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目的分析计划生育手术与异位妊娠间的相关性因素。方法选择2010年3月至2012年3月我院收治的68例异位妊娠患者临床资料进行回顾性分析与总结。结果通过对异位妊娠患者临床资料进行分析后发现,68例异位妊娠患者中有58例有过计划生育手术史,而仅10例未有过计划生育手术史,而有过计划生育手术史患者中,人工人流42例,带环手术11例,结扎手术5例。有过计划生育手术史患者出现异位妊娠概率为85.3%,而未有过计划生育手术史患者出现异位妊娠概率为14.7%,差异较为显著,存在统计学意义(P<0.05)。经过病理检查后发现,58例有过计划生育手术史患者中,仅12例患者输卵管呈通畅状态,其余患者均出现不同程度堵塞,其中以输卵管妊娠为主,其次为卵巢妊娠、宫角妊娠。结论计划生育手术是导致异位妊娠的重要原因,采取针对性的预防措施,减少计划生育手术史,才能避免异位妊娠的产生。
Objective To analyze the correlation between family planning operation and ectopic pregnancy. Methods The clinical data of 68 patients with ectopic pregnancy admitted to our hospital from March 2010 to March 2012 were retrospectively analyzed and summarized. Results By analyzing the clinical data of patients with ectopic pregnancy, found that 58 cases of 68 cases of ectopic pregnancy had a history of family planning surgery, and only 10 cases had no history of family planning surgery, and had a history of family planning surgery Among the patients, 42 were operated with artificial flow, 11 with band surgery, and 5 with ligation. The incidence of ectopic pregnancy in patients with history of family planning operation was 85.3%, while the incidence of ectopic pregnancy in patients without history of family planning operation was 14.7%. The difference was statistically significant (P <0.05). After pathological examination found that 58 patients had a history of family planning surgery, only 12 patients showed tubal patency, the rest of the patients showed varying degrees of congestion, of which tubal pregnancy, followed by ovarian pregnancy, cornual pregnancy. Conclusion Family planning operation is an important cause of ectopic pregnancy. It is necessary to take targeted preventive measures and reduce the history of family planning operation in order to avoid ectopic pregnancy.