CAJ | 학술논문

目的：观察口服紧急避孕药后输卵管妊娠的临床特点。方法收集2011年1月至2012年6月四川省妇幼保健院确诊的628例输卵管妊娠患者的临床资料。根据其异位妊娠前是否服用紧急避孕药分为两组，观察组190例均服用过紧急避孕药，对照组438例未服用紧急避孕药。对两组的临床资料进行分析。结果观察组阳性体征所占比例53.7％（102／190）、血β－绒毛膜促性腺激素（chorionic gonadotrophin，β－HCG）值（1186.41±1263.49）mIU／mL、附件包块最大径（1.9±0.9）cm、盆腔积液深度（1.2±1.0）cm，均低于对照组（P＜0.05）[分别为72.7％（318／438）、（3549.55±10145.87）mIU／mL、（2.9±1.2）cm、（2.3±1.5）cm]。观察组中输卵管妊娠非破裂型所占比例75.3％（143／190）和保守治疗及手术中输卵管的保有率82.0％（50／61）高于对照组[分别为63.2％（277／438）、47.4％（120／254）]（P＜0.05）。结论口服紧急避孕药后输卵管妊娠者非破裂型居多，输卵管的保有率、采用保守治疗、患者再孕的概率增加。
목적：관찰구복긴급피잉약후수란관임신적림상특점。방법수집2011년1월지2012년6월사천성부유보건원학진적628례수란관임신환자적림상자료。근거기이위임신전시부복용긴급피잉약분위량조，관찰조190례균복용과긴급피잉약，대조조438례미복용긴급피잉약。대량조적림상자료진행분석。결과관찰조양성체정소점비례53.7％（102／190）、혈β－융모막촉성선격소（chorionic gonadotrophin，β－HCG）치（1186.41±1263.49）mIU／mL、부건포괴최대경（1.9±0.9）cm、분강적액심도（1.2±1.0）cm，균저우대조조（P＜0.05）[분별위72.7％（318／438）、（3549.55±10145.87）mIU／mL、（2.9±1.2）cm、（2.3±1.5）cm]。관찰조중수란관임신비파렬형소점비례75.3％（143／190）화보수치료급수술중수란관적보유솔82.0％（50／61）고우대조조[분별위63.2％（277／438）、47.4％（120／254）]（P＜0.05）。결론구복긴급피잉약후수란관임신자비파렬형거다，수란관적보유솔、채용보수치료、환자재잉적개솔증가。
Objective To observe the clinical features of tubal pregnancy after oral emergency contraceptive .Methods 628 cases of tubal pregnancy in The Women and Children Hospital of Sichuan from Jan 2011 to Jun 2012 were collected and divided into two groups,190 cases who took oral emergency contraception were selected into observation group , while 438 cases who didn ’ t take oral emergency contraception were selected into control group .Clinical data of two groups were analyzed .Results The positive signs rate 53.7%, serum β-HCG(1 186.41 ±1 263.49) mIU/mL, the diameter of adnexal mass (1.9 ±0.9) cm and pelvic effusion (1.2 ± 1.0)cm in observation group were less than that in control group [72.7%、(3 549.55 ±10 145.87)mIU/mL、(2.9 ±1.2)cm、(2.3 ± 1.5)cm respectively] (P<0.05).Proportion of non-ruptured tubal pregnancy75.3%(143/190) and retention rate of fallopian tube 82.0%(50/61) in observation group were higher than control group [63.2%(277/438)、47.4%(120/254) respectively] (P <0.05).Conclusion After oral emergency contraceptive , the non-ruptured tubal pregnancy are in the majority , the retention rate of fallopian tube pregnancy , conservative treatment rate and the probability of pregnant increased .