腹腔妊娠54例临床分析  

A clinical analysis of 54 cases of abdominal pregnancy

作　　者：王利娟[1] 苟文丽[1] 高积勇[1] 

机构地区：[1]西安交通大学医学院第一附属医院妇产科,陕西西安710061

出　　处：《中国妇幼健康研究》2006年第5期395-397,共3页Chinese Journal of Woman and Child Health Research

摘　　要：目的探讨腹腔妊娠的早期诊断及积极有效的治疗措施,减少孕产妇、新生儿死亡率。方法电子检索PubM ed、中国期刊网专题全文数据库过去10年中发表的有关腹腔妊娠的个案报道,以及我院1996年2月至今10年间收治的腹腔妊娠3例患者临床资料,制定严格入选标准,对入选病例的临床资料进行回顾性分析。结果共收集病例145例,其中54例符合最终的入选标准,纳入分析。原发性腹腔妊娠3例,占5.6%。其余51例为继发性腹腔妊娠。中、晚期腹腔妊娠的误诊率分别为22%,77.3%。结论根据临床表现、结合B超、电子计算机断层扫描或核磁共振检查,早期诊断,正确评估胎盘着床情况,积极正确有效的治疗可以大大降低孕产妇及新生儿死亡率,改善预后。Objective To explore early diagnosis and effective treatment of abdominal pregnancy, so as to decrease maternal and neonatal mortality rates. Methods We reviewed clinical data of all patients with abdominal pregnancy in case reports published in PubMed and CNKI in past decade and 3 cases of abdominal pregnancy in our hospital over a 10-year period from Feb. , 1996 to Feb. , 2006. We worked up a strict selection criteria and then conducted a retrospective analysis for these selected cases, Results Data of 145 cases of abdominal pregnancy were reviewed in total, of which, 54 cases met final selection criteria and were analyzed. There were 3 cases of primary abdominal pregnancy, accounting for 5.6%, The rest 51 cases were secondary abdominal pregnancy. The misdiagnosis rate of abdominal pregnancy was 22% in the second-trimester of pregnancy, and 77.3% in the third-trimester of pregnancy. Conclusion Combining clinical manifestations with B-Mode ultrasonography, CT or MRI results, the placental implantation situation can be evaluated correctly, early diagnosis of abdominal pregnancy could be made and the effective and timely treatment can be given, so that the maternal and neonatal mortality rates could be decreased, and their prognosis could be improved.

关 键 词：腹腔妊娠 临床资料 预后 回顾性研究 

分 类 号：R714[医药卫生—妇产科学]