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[与异位妊娠相关的一些人口统计学方面]

[Some demographic aspects associated with ectopic pregnancy].

作者信息

Guerrero-Martínez Elly, Rivas-López Radamés, Martínez-Escudero Itzell Sarahid

出版信息

Ginecol Obstet Mex. 2014 Feb;82(2):83-92.

Abstract

BACKGROUND

The determination techniques of chorionic gonadotropin and transvaginal high resolution ultrasound have revolutionized the diagnosis of ectopic pregnancy.

OBJECTIVE

Assess demographic aspects associated with ectopic pregnancy in Hospital Angeles del Pedregal over a 6 years period.

MATERIALS AND METHODS

Descriptive and retrospective study. We reviewed 143 clinical records from March 1, 2006 to January 31, 2013, with diagnosis of ectopic pregnancy discharge. The analyzed variables were: age, history of ectopic pregnancy, method of family planning, pelvic inflammatory disease, smoking, weeks of gestation, clinical picture, localization of ectopic pregnancy, treatment and complications.

RESULTS

Were analyzed 143 cases, diagnosed and corroborated with histopathological study, of ectopic pregnancy in Hospital Angeles del Pedregal during the period from 2006 to 2012. The average age at which pregnancies occurred was 32.4 +/- 5.4 years; 89% of patients were over 25 years old. 35% were primigravidous and 51 women had previous caesarean, 31 abortion and 22 childbirth. 10% had history of ectopic pregnancy and 39% had 5 weeks gestation; 72% not used contraceptives, 30% were smokers, and only 2% had suffered pelvic inflammatory disease.

CONCLUSION

Despite the technological advances the correct evaluation of risk factors is essential for the diagnosis of ectopic pregnancy.

摘要

背景

绒毛膜促性腺激素测定技术和经阴道高分辨率超声已彻底改变了异位妊娠的诊断。

目的

评估在6年期间佩德雷加尔天使医院与异位妊娠相关的人口统计学方面。

材料与方法

描述性和回顾性研究。我们回顾了2006年3月1日至2013年1月31日期间143例诊断为异位妊娠出院的临床记录。分析的变量包括:年龄、异位妊娠史、计划生育方法、盆腔炎、吸烟、妊娠周数、临床表现、异位妊娠部位、治疗及并发症。

结果

分析了2006年至2012年期间佩德雷加尔天使医院143例经组织病理学研究确诊的异位妊娠病例。妊娠发生时的平均年龄为32.4±5.4岁;89%的患者年龄超过25岁。35%为初产妇,51名妇女有剖宫产史,31名有流产史,22名有分娩史。10%有异位妊娠史,39%妊娠5周;72%未使用避孕药具,30%吸烟,仅2%患过盆腔炎。

结论

尽管有技术进步,但正确评估危险因素对于异位妊娠的诊断至关重要。

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