Repeat clinical analysis of 32 cases of ectopic pregnancy.doc

 PAGE \* MERGEFORMAT 4 Repeat clinical analysis of 32 cases of ectopic pregnancy [Keywords:] the results of relapse treatment of ectopic pregnancy Ectopic pregnancy is a common acute abdomen Obstetrics and Gynecology. In recent years, the incidence of ectopic pregnancy have increased, the incidence of repeat ectopic pregnancy is also increased accordingly. Repeat ectopic pregnancy is the first time, of ectopic pregnancy by surgery or conservative treatment, again in the uterus outside the fallopian tubes, ovaries or intra-abdominal pregnancy, because of its harmful larger, gynecologists must be vigilant to repeat ectopic pregnancy occurred. In order to investigate the incidence of repeat ectopic pregnancy causes, in June 2005 ~ June 2007 treated 32 cases of repeat ectopic pregnancy were analyzed retrospectively. 1 Materials and Methods 1.1 Object Treated 511 cases of ectopic pregnancy, of which 32 cases of repeat ectopic pregnancy (accounting for 6.26%), 2 ectopic pregnancies, 30 cases three times in 2 cases of ectopic pregnancy; 27 cases of pathologically confirmed, in 5 cases according to history , clinical manifestations, blood HCG with B-ultrasound diagnosis. 1.2 Age and fertility Patients aged 23 to 41 years old, mean (26.3 ± 4.1) years of age; not mothers in 14 cases, accounting for 43.8%; by the mothers in 18 cases, accounting for 56.2%. Repeat ectopic pregnancy in 32 cases of induced abortion after medical abortion Qing history or the history of 26 cases, accounting for 81.3%; a second 12 cases of induced abortion, 2 in 8 cases, 3 times in 6 cases. 1.3 Interval Interval between the two ectopic pregnancy in April to 6 years, 1 year or less in 11 cases, 1 to 2 years in 15 cases, 2 to 5 years in 4 cases, more than 5 years in 2 cases, an average of 19.4 months. 1.4 Clinical characteristics and laboratory examinations There are 28 cases of the history of menopause, menopause days 35 ~ 72 d; 4 patients without significant history of menopause, onl