Traina V, Malvasi A, Totaro P, Putignano G, Cramarossa D
I Clinica Ostetrica e Ginecologica, Università degli Studi di Bari.
Minerva Ginecol. 1991 Jun;43(6):287-92.
The Authors, in the period 1979-1988, discovered 175 ectopic pregnancies out of a total of 16.641 pregnancies: a rate of incidence of 1 in 95 (1.05%); 28 patients were fitted with an IUD. In accordance with published data, they recognize an increase in the incidence of ectopic pregnancies and emphasize the importance of a precocious clinical diagnostic, to reconcile timeliness of operation with the need of conservative surgery, the indication for which should take into account many factors (the age, the general condition, the parity, the wish for a pregnancy, the state and condition of the tube on each side) since it seems to predispose to recurrent ectopic pregnancies. They indicate the negative effects on the tube for patients fitted with an IUD.
作者在1979年至1988年期间，在总共16641例妊娠中发现了175例异位妊娠：发病率为95分之一（1.05%）；28例患者放置了宫内节育器。根据已发表的数据，他们认识到异位妊娠的发病率有所上升，并强调早期临床诊断的重要性，以便在手术及时性与保守手术需求之间取得平衡，保守手术的指征应考虑许多因素（年龄、一般状况、产次、妊娠意愿、双侧输卵管的状态和情况），因为这似乎易导致复发性异位妊娠。他们指出了宫内节育器对输卵管的负面影响。
