1996～2005年异位妊娠发病趋势分析.pdfVIP

张碧云等 l996～2003年异位妊娠发病趋势分析 第2期 1996～2005年异位妊娠发病趋势分析 张碧云 罗喜平 彭秀红 廖碧翎 广东省妇幼保健院妇科(广东 广州) 510010 中国图书分类号 R714．22 文献标识码 A 文章编号 1001-4411 I2OO8)02-0161-03 【摘 要】 目的：分析本院l0年来异位妊娠 (EP)的发病趋势变化。方法：对本院l0年来1 895例EP发病患者的情况 进行回顾性分析。结果：①在加岁年龄段发病总例数中，后5年比前5年显著增加 ( =19．07，P0．01)。②BMI加者比 BMI在20～25之间及BMI25者，有显著性差异 ( =107．19，P0．01)。③近3年908例EP患者经等级相关分析，流产史、 盆腔粘连、输卵管手术史、术中发现输卵管发育异常与EP发病间均有非线性相关 (P0．01)。结论：本院近l0年来EP的发 病呈逐步增长趋势，而近5年20岁的年轻患者的构成比前5年增加，体型偏瘦者发病增加，患者流产史、盆腔粘连、输卵管 手术史、术中发现输卵管发育异常等与EP发病呈相关性。 【关键词】 异位妊娠 年龄 体重指数 相关性 Study on the incidence trends of the ectopic pregnancy from 1 996 to 2005 ZHANG Bi—Yun，LUO Xi—P ， ，PENG Xiu—Hong，et a1．Guangdong Maternity and Child Health Care Hospital， Guangzhou 510010，Guangdong，China [Abstract] Objective：To study the incidence trends of the ectopic pregnancy patients of our hospital in the past decade．Methods： 1895 cases of EP in past 10 years were analyzed retrospectively．R嘲Jlts：①The component ratio of the patients who were younger than 20 years old in the near 5 years Was higher than the past 5 years．~The cases of BMI less than 20 years old were more than the patients of BMI between 20～25 years old and those of more than 26 years old．(~908 cases ofEP in the nearthree years were studied by grade relation analy- sis．Abortion histories，inflammatory adhensions of the pelvis，operations of the fallopian tubes and abnormal developments of fallopian tubes were statistically correlated’vitll EP．Conclusion：The incidences of EP cases ofour hospital are higher and higherin the past decade and the patinas younger than 20 years old in the near 5 years are more than the past 5 years．The thinner patients are more likely to have EP disea— ses．The patient~histories of abortions，pelvic adhensions，fallopian tube~operations and abnormal developments of fallopian tubes are all statistically correlate witll EP． [Key words] Ectopic pregnancy(EP)；Age；Body mass index(BMI)；Correlation 异位妊娠 (Ectopic pregnancy，EP)