Gillet J Y, Olivero J F, Gabaude B, Simon E, Mourey C, Grimaldi M, Marigot M
Service de Gynécologie-Obstétrique, Hôpital Saint-Roch, Nice.
Rev Fr Gynecol Obstet. 1987 Jul-Sep;82(7-9):465-9.
The study of 200 files has enabled to define a few epidemiological aspects of ectopic pregnancy: large frequency of this pregnancy with ectopic location, for 42 births, in an average, occurrence in young women, between 25 and 35 years, hypofertile, nulli or primiparous, importance of utero-adnexal infections and their sequelae, found in 50% of the cases, and linked to the increase of sexually transmissible diseases and the frequency of voluntary interruptions of pregnancy, importance also of histological lesions of the isthmo-interstitial segment of the tube. The different therapeutic approaches are presented: the authors explain the reasons for a deliberately conservative therapy (in 82% of the cases) without compromising the maternal prognosis: absence of anatomical abnormality justifying the excision of the tube, or, often bilateral anatomical lesions requiring a subsequent radiological work-up, and a secondary treatment. Finally, desire of another pregnancy in a population which is infertile, most of the time, and of which the mean age is 28 years.
对200份病例的研究有助于明确异位妊娠的一些流行病学特征：异位妊娠发生率较高，平均每42例分娩中就有1例发生，多见于25至35岁的年轻女性，这些女性生育能力低下，未育或初产，子宫附件感染及其后遗症较为重要，在50%的病例中可发现，且与性传播疾病的增加及人工流产频率有关，输卵管峡部-间质部的组织学病变也很重要。文中介绍了不同的治疗方法：作者解释了采取刻意保守治疗（82%的病例）的原因，同时不影响产妇预后：不存在需要切除输卵管的解剖异常，或者通常为双侧解剖病变，需要后续的影像学检查及二次治疗。最后，在这个大多数情况下不孕且平均年龄为28岁的人群中，她们有再次怀孕的愿望。
