CAJ | 학술논문

目的：探讨异位妊娠发生破裂的相关危险因素，为异位妊娠的治疗提供参考依据。方法采用回顾性病例对照研究对65例异位妊娠发生破裂患者和118例异位妊娠未发生破裂患者的临床资料进行分析，单因素分析采用卡方检验，多因素分析采用非条件性Logistic回归法。结果产次（OR＝5．362，95％CI：0．843～9．785）、妊娠部位（OR＝3．757，95％CI：0．458～6．857）、异位妊娠史（OR＝3．785，95％CI：0．753～5．978）、异位妊娠史包块直径（OR＝1．478，95％CI：0．742～2．424）是异位妊娠破裂的相关危险因素。结论妊娠部位、异位妊娠史、包块直径是异位妊娠破裂的相关危险因素，临床工作中应对具有上述危险因素的异位妊娠患者早期提高警惕性，避免发生破裂大出血导致严重的不良预后。
목적：탐토이위임신발생파렬적상관위험인소，위이위임신적치료제공삼고의거。방법채용회고성병례대조연구대65례이위임신발생파렬환자화118례이위임신미발생파렬환자적림상자료진행분석，단인소분석채용잡방검험，다인소분석채용비조건성Logistic회귀법。결과산차（OR＝5．362，95％CI：0．843～9．785）、임신부위（OR＝3．757，95％CI：0．458～6．857）、이위임신사（OR＝3．785，95％CI：0．753～5．978）、이위임신사포괴직경（OR＝1．478，95％CI：0．742～2．424）시이위임신파렬적상관위험인소。결론임신부위、이위임신사、포괴직경시이위임신파렬적상관위험인소，림상공작중응대구유상술위험인소적이위임신환자조기제고경척성，피면발생파렬대출혈도치엄중적불량예후。
Objective To investigate the risk factors of ruptured ectopic pregnancy ( EP) and to provide reference for the treatment of EP . Methods Retrospective case control study was used to analyze the clinical data of 118 cases of unruptured EP and 65 cases of ruptured EP . The statistical relationship was analyzed by using chi-square test and multiple unconditional Logistic regression method .Results The parity (OR=5.362, 95%CI:0.843-9.785), site of pregnancy(OR=3.757, 95%CI:0.458-6.857), history of EP (OR=3.785, 95%CI:0.753-5.978), and mass diameter of EP (OR=1.478,95%CI:0.742-2.424) were related risk factors of EP rupture .Conclusion Site of pregnancy , history of EP and mass diameter are the related risk factors of EP rupture .In clinical work close attention should be paid to EP patients with the above risk factors so as to avoid rupture bleeding and serious adverse outcomes .