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时间:2018-11-20
《异位妊娠的病因、风险因素及临床表现论文》由会员上传分享,免费在线阅读,更多相关内容在学术论文-天天文库。
1、异位妊娠的病因、风险因素及临床表现论文盖凌李娟张伟于小洁张美华【关键词】异位妊娠;病因;风险因素;临床表现异位妊娠是一种妊娠并发症,当一个受精卵种植在正常子宫腔外被称为异位妊娠(ectopicpregnancy)1,异位妊娠是生育年龄妇女的常见病之一,虽然许多风险因素已经确定,但异位妊娠的发病原因还不清楚2。临床诊断比较困难,主要依靠超声扫描和β-人类绒毛膜促性腺激素(β-hCG)的测定来诊断3。异位妊娠是为数不多的需要手术治愈的妇科疾病之一4。1发病率与死亡率在发展中国家,所有报道的妊娠中,异位妊
2、娠的发生率是1%~2%.freelantubalectopicpregnancy.HumReprodUpdate,2010,16(4):432-444.3HorneA.Ectopicpregnancy.Lancet,2005,366(9485):583-591.5ChangJ,Elam-EvansLD,BergCJ,etal.Pregnancy-relatedmortalitysurveillance-UnitedStates,1991-1999.MManyondaI.Tubalectopicpre
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4、urnerC,HornerP,etal.BritishFertilitySociety.Impactofchlamydiatrachomatisinthereproductivesetting:BritishFertilitySocietyGuidelinesforpractice.HumFertil(Camb),2010,13(3):115-125.11ShaydiatrachomatisinfectionincreasesfallopiantubePROKR2viaTLR2andNFkBacti
5、vationresultinginamicroenvironmentpredisposedtoectopicpregnancy.AmJPathol,2011,178(1):253-260.12ClaytonHB,SchieveLA,PetersonHB,etal.EctopicpregnancyriskplantationofahumanembryoJEpidemiol,2003,157(3):185-194.16Shaechanismexplainingthelinkbetokingandtuba
6、lectopicpregnancy.AmJPathol,2010,177(5):2509-2515.17CorpaJM.Ectopicpregnancyinanimalsandhumans.Reproduction,2006,131(4):631-640.18HasanR,BairdDD,HerringAH,etal.Patternsandpredictorsofvaginalbleedinginthefirsttrimesterofpregnancy.AnnEpidemiol,2010,20(7)
7、:524-531.19JehleD,KrauseR,BraenGR.Ectopicpregnancy.EmergMedClinNorthAm,1994,12(1):55-71.20TayJI,MooreJ,J,2000,320(7239):916-919.21Leaternalandchildhealth(CEMACH).Savingmotherslives:revieaternaldeathstomakemotherhoodsafe2003-2005.London,UK:RCOGPress,200
8、7.22Cantaternalandchildenquiries(CMACE).Savingmotherslives:revieaternaldeathstomakemotherhoodsafe2006-2008.London,UK:RCOGPress,2011:81-84.
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