Zhang Z M
National Research Institute for Family Planning, Beijing.
Zhonghua Fu Chan Ke Za Zhi. 1993 Nov;28(11):671-3, 702.
The incidence of ectopic pregnancy (EP) was studied through the 3 level monitoring network of maternal and child health care (MCH) in the whole Beijing area, including 82 hospitals, 19 MCH centers and 2 institutes for family planning. 1,420 cases of EP were collected in a sample of 2.7 million women of reproductive age (15-49) during one year period from January 1 to December 31 1990. The cases were confirmed by pathological examination or laparoscopy, and method of epidemiological surveillance was used. The results showed that the overall incidence of EP was 0.52 per thousand women of reproductive age in Beijing area, 0.60/1,000 in urban districts and 0.41/1,000 in rural area; 0.67/1,000 in married women, and 0.05/1,000 in the unmarried; for married women the incidence was 0.54/1,000 in women using various contraceptive measures and 1.80/1,000 in women using no contraceptive methods, while women after sterilization had the lowest incidence (0.18/1,000) and women using natural contraceptive measures (rhythm or withdrawal method) had the highest (2.43/1,000). It was 0.65/1,000 in IUD users, 0.21/1,000 in OC users and 0.57/1,000 in couples using condom or spermicides. The ratio of EP to delivery was 1:90 or 11.41/1,000 delivery.
通过北京市妇幼保健(MCH)三级监测网络对异位妊娠(EP)的发病率进行了研究,该网络包括82家医院、19个妇幼保健中心和2个计划生育研究所。在1990年1月1日至12月31日的一年时间里,从270万15 - 49岁的育龄妇女样本中收集到1420例EP病例。这些病例通过病理检查或腹腔镜检查确诊,并采用了流行病学监测方法。结果显示,北京地区EP的总体发病率为每千名育龄妇女0.52例,城区为0.60/1000,农村为0.41/1000;已婚妇女为0.67/1000,未婚妇女为0.05/1000;已婚妇女中,采用各种避孕措施的妇女发病率为0.54/1000,未采用避孕方法的妇女发病率为1.80/1000,绝育后的妇女发病率最低(0.18/1000),采用自然避孕措施(安全期或体外排精法)的妇女发病率最高(2.43/1000)。宫内节育器(IUD)使用者的发病率为0.65/1000,口服避孕药(OC)使用者为0.21/1000,使用避孕套或杀精剂的夫妇为0.57/1000。EP与分娩的比例为1:90或每1000例分娩中有11.41例EP。