Clinical Epidemiological Analysis Of Ectopic Pregnancy

BackgroundMaternity is the eternal,universal and inherent dream of every woman who has this dream.It cannot always be enjoyable and can lead to nightmares.One of them is an ectopic pregnancy.Ectopic pregnancy is a common acute abdomen in obstetrics and gynecology.Early diagnosis and treatment can help reduce its complications.Early diagnosis and treatment and complications occur differently from each country’s economic development and health status.As an international student,I would like to know the clinical features,diagnosis and treatment of ectopic pregnancy in Chinese hospitals,and provide relevant evidence for clinical prevention.ObjectivesTo analyze the clinical characteristics,diagnosis and treatment criteria of ectopic pregnancy,evaluate different treatment options and their outcomes,and provide experience for early diagnosis and clinical treatment of ectopic pregnancy.MethodRelying on the Outpatient Case Information System of the Third Affiliated Hospital of Xinxiang Medical College,a total of 2,700 cases of "suspected pregnant patients" were collected and retrospectively analyzed between the periods of January 2017 to December 2018.Relevant clinical data were collected including age,gestational age,pregnancy,risk factors,clinical manifestations,internal bleeding volume,surgical procedure,ultrasonography and surgical outcomes,and morbidity factors associated with ectopic pregnancy.ResultsA retrospective analysis of 55 patients diagnosed with ectopic pregnancy,aged 20-46 years,mean age 30.1 years,including 33 cases(60%)21-30 years old,20 cases(36.36%)31-40 years old>40 years old for 2 cases(3.36%),21-30 years old for the high incidence of the disease.Among them,20 cases(36.4%)had not delivered,30 cases(54.54%)had delivered 1 time,5 cases(9.1%)had delivered 2 times,and 43 cases(78.2%)found ectopic pregnancy in 6-8 weeks.Five patients(9.09%)found ectopic pregnancy at<6 weeks,and 2 patients(3.63%)found ectopic pregnancy at>8 weeks,and 5 cases were not described.The most common risk factors were pelvic surgery(34.54%),miscarriage(30.90%),infertility(16.36%),pelvic inflammatory disease(12.72%),and intrauterine device use(1.82%).The most common clinical manifestations were menopause(87.27%),abdominal pain(72.72%),and vaginal bleeding(52.72%).The most common signs were abdominal tenderness(80%),cervical pain(67.27%),and hemorrhagic shock(23.64%).Ultrasound,urine pregnancy test and β-hCG are diagnostic methods.Surgery is the main treatment.The surgical methods include salpingectomy(75.5%),fallopian tube oophorectomy(60.63%),and fallopian tube fenestration(36.36%).No maternal deaths occurred.ConclusionsIn summary,the history of pelvic surgery,a history of intrauterine operation such as abortion is a high risk factor for ectopic pregnancy.Ectopic pregnancy is also associated with age,pregnancy,pelvic inflammation,and intrauterine device placement.Therefore,prevent women’s reproductive tract inflammation,prevent the occurrence of pelvic inflammatory disease and timely and thorough treatment of pelvic inflammatory disease,use appropriate contraceptive measures to reduce the number of abortions,promote natural childbirth,reduce the rate of cesarean section,enhance the aseptic operation concept of medical staff and improve operation The level of technology is very important.At the same time,we should attach great importance to health education after abortion,and thus effectively reduce the occurrence of ectopic pregnancy.