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目的探讨重复异位妊娠影响因素和诊疗方法。方法回顾分析我院1986年8月～2006年8月12例重复异位妊娠患者资料。结果12例重复异位妊娠均发生在输卵管,占同期异位妊娠186例的6.51%。首次异位妊娠一侧输卵管部分切除8例,重复异位妊娠发生在对侧6例,发生在同侧2例。首次异位妊娠输卵管吻合术2例,重复异位妊娠发生在同侧2例。首次异位妊娠药物保守治疗2例,重复异位妊娠均发生在同侧。本组病例中9例术中所见及术后病理报告均显示合并慢性输卵管炎,发病率为75%。结论输卵管炎症及首次异位妊娠的治疗方式是重复异位妊娠的危险因素。
Objective To study the influencing factors and diagnosis and treatment of repeated ectopic pregnancy. Methods The data of 12 patients with repeated ectopic pregnancy in our hospital from August 1986 to August 2006 were retrospectively analyzed. Results 12 cases of repeated ectopic pregnancy occurred in the fallopian tubes, accounting for 6.51% of 186 cases of ectopic pregnancy in the same period. The first ectopic pregnancy tubal partial resection in 8 cases, repeated ectopic pregnancy in the contralateral 6 cases, occurred in the ipsilateral in 2 cases. The first ectopic pregnancy tubal anastomosis in 2 cases, repeated ectopic pregnancy occurred in 2 cases on the ipsilateral. The first conservative treatment of ectopic pregnancy drugs in 2 cases, repeated ectopic pregnancy occurred in the ipsilateral. In this group of 9 cases of intraoperative findings and postoperative pathology report showed a combination of chronic salpingitis, the incidence was 75%. Conclusion The treatment of tubal inflammation and the first ectopic pregnancy is a risk factor for repeated ectopic pregnancy.