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目的观察宫颈解脲支原体感染对异位妊娠结局的影响。方法 83例异位妊娠患者分为解脲支原体培养阳性组39例和培养阴性组44例,并对两组患者血HCG值、胎心搏动率和保守治疗成功率进行对比。结果解脲支原体阳性组39例入院时血HCG平均水平1882.55 mIU/ml,解脲支原体阴性组44例入院时血HCG平均水平3198.14 mIU/ml;两组患者血HCG值比较差异有统计学意义(P<0.05);B超可探及附件区胎心搏动者,解脲支原体阳性组0例,解脲支原体阴性组4例;差异无统计学意义(P>0.05);解脲支原体阳性组有22例手术治疗56.41%(22/39),解脲支原体阴性组有39例手术治疗88.63%(39/44),差异有统计学意义(P<0.05);采取同样保守治疗方案时,治疗效果比较,解脲支原体阳性组成功率比解脲支原体阴性组高,分别为86.86%、57.89%,差异有统计学意义(P<0.05)。结论宫颈解脲支原体感染与异位妊娠结局有关联;宫颈解脲支原体感染可能影响异位着床的胚胎生长发育,有利于对异位妊娠患者采取非手术治疗。
Objective To observe the effect of cervical Ureaplasma urealyticum infection on ectopic pregnancy outcome. Methods Eighty-three patients with ectopic pregnancy were divided into three groups: the positive group of Ureaplasma urealyticum (39 cases) and the negative group (44 cases). The blood HCG, fetal heartbeat rate and the success rate of conservative treatment were compared between the two groups. Results The average serum HCG level of admission urealyticum positive group (398 cases) was 1882.55 mIU / ml and the average blood HCG level was 3198.14 mIU / ml (4498 cases). There was significant difference between the two groups Ureaplasma urealyticum positive group 0 cases, Ureaplasma urealyticum negative group 4 cases; the difference was not statistically significant (P> 0.05); Ureaplasma urealyticum positive group Among 22 cases, 56.41% (22/39) were treated by surgery, 39 cases (88.63%) were treated by Ureaplasma urealyticum negative group (39/44), the difference was statistically significant (P <0.05). When the same conservative treatment was taken, In comparison, the positive constituent power of Ureaplasma urealyticum was 86.86% and 57.89% higher than that of Ureaplasma urealyticum negative group (P <0.05). Conclusion The infection of Ureaplasma urealyticum is related to the outcome of ectopic pregnancy. Ureaplasma urealyticum infection may affect the growth and development of embryo of ectopic implantation, which is good for non-surgical treatment of ectopic pregnancy.