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目的探讨重复异位妊娠的病因、治疗及预防措施。方法对我院从2002年1月至2006年12月收治的50例重复异位妊娠的临床资料及治疗情况进行回顾性分析。结果 50例重复异位妊娠占同期658例异位妊娠中的7.60%,84.62%输卵管切除者的重复异位妊娠发生在对侧;而保守性治疗者66.67%发生在原患侧,两者间有极显著性差异(P<0.001)。50例重复异位妊娠治疗中8例行药物保守治疗;42例行手术治疗,并经手术病理证实为输卵管妊娠。结论本病的发生与盆腔炎症及前次异位妊娠有关。治疗应根据患者的生育要求,患侧及对侧输卵管的情况等决定,包括输卵管切除术、保守性手术、药物治疗或期待治疗。应积极治疗盆腔炎症,从首次异位妊娠的防治开始来降低重复异位妊娠的发生率。
Objective To investigate the etiology, treatment and preventive measures of repeated ectopic pregnancy. Methods The clinical data and treatment of 50 cases of repeated ectopic pregnancy admitted to our hospital from January 2002 to December 2006 were retrospectively analyzed. Results 50 cases of repeat ectopic pregnancy accounted for 7.60% of the 658 cases of ectopic pregnancy over the same period, 84.62% of the tubal resection who repeated ectopic pregnancy occurred on the contralateral; and 66.67% of conservative treatment occurred in the original ipsilateral, between the two Very significant difference (P <0.001). Eighty patients underwent repeat conservative treatment in 50 cases of repeated ectopic pregnancy. Surgical treatment was performed in 42 cases and tubal pregnancy was confirmed by surgery and pathology. Conclusion The occurrence of this disease and pelvic inflammatory disease and the previous ectopic pregnancy related. Treatment should be based on the patient’s reproductive requirements, the affected side and the contralateral fallopian tube and other decisions, including tubal surgery, conservative surgery, medication or looking forward to treatment. Should actively treat pelvic inflammatory disease, prevention and treatment of the first ectopic pregnancy to reduce the incidence of repeated ectopic pregnancy.