37 cases of repeat ectopic pregnancy.docVIP

 PAGE \* MERGEFORMAT 9 37 cases of repeat ectopic pregnancy Repeat ectopic pregnancy refers to the first ectopic pregnancy by surgery or subsequent pregnancy after conservative treatment. To investigate the factors related to repeat ectopic pregnancy, diagnosis and treatment, the paper repeated on 37 patients in our hospital clinical data of patients with ectopic pregnancy retrospective analysis, reported as follows: 1 Clinical data and methods 1.1 General Information since January 2009 ~ February 2010 241 cases of ectopic pregnancy were treated, of which 37 cases were recurrent ectopic pregnancy, 5 cases of ectopic pregnancy for 3 times. Patients age 18 to 42 years old, had a curettage abortion or other uterine action in 27 cases, has been in ligation in 7 patients, 3 patients after assisted reproductive technology cases .37 repeat ectopic pregnancy, menopause time is 42 to 69 days, 30 patients had the history of menopause, 7 postmenopausal patients with no history of irregular vaginal bleeding only showed .29 patients with varying degrees of abdominal pain. ultrasound examination of 34 cases prompted a mass in the annex. HCG elevated blood had 33 cases, 4 cases of treatment when there significant internal bleeding that laparotomy .37 36 cases of patients, intraoperative findings and pathology are confirmed, 11 cases of clinical manifestations, blood B-HCG and prompt support the diagnosis. 1.2 Treatment of patients according to clinical manifestations, Marital status, previous ectopic pregnancy treatment, combined with the requirements of patients and their families decided to treatment, including drugs conservative treatment, open surgery or laparoscopic tubal resection of the affected side, open abdominal or laparoscopic conservative surgery and intraoperative local injection of MTX. 2 Results 37 patients with repeat ectopic pregnancy patients after surgery or drug therapy were cured and discharged. Laparoscopic surgery in 11 case