原发性卵巢妊娠39例临床分析  

Analysis on 39 Cases of Primary Ovarian Pregnancy

作　　者：周卫强[1] 

机构地区：[1]上海交通大学附属第六人民医院奉贤分院妇产科,上海201400

出　　处：《中国临床医学》2008年第5期730-731,共2页Chinese Journal of Clinical Medicine

摘　　要：目的:探讨原发性卵巢妊娠的临床特征、诊断及治疗方法。方法:对2002年—2007年收治的39例原发性卵巢妊娠临床资料进行回顾分析。结果:原发性卵巢妊娠患者平均年龄29.6±5.3岁,发生率为3.3%,29例(74.4%)有停经史,35例(89.7%)有腹痛症状,24例(61.5%)有不规则阴道出血,8例(20.5%)出现休克,23例(59.0%)放置宫内节育器,2次妊娠以上31例(79.5%),所有病例均经手术治疗。结论:原发性卵巢妊娠近年来发病呈上升趋势,发病因素与宫内节育器、多次妊娠、盆腔炎症等密切相关。应提高临床医师、B超医师对该病的认识及诊断水平,治疗以手术治疗为主。Objective：To discuss the clinical characteristics, diagnosis and treatment methods ot primary ovarian plegnancy. Methods：Retrospective case control study of 39 cases of primary ovarian pregnancy treated between 2002 and 2007. Results： The mean age of the 39 eases identified as treat of having been an primary ovarian pregnancy was 29.6 ± 5.3 years. Presenting symptoms were similar to those of tubal pregnancy. 39 cases comprised 3.3% of all ectopic pregnancies ; there were 29（74.4% ） cases with the history of amemorrhea, 35 （89.7% ） cases presented with lower abdominal pain; 24（ 61.5% ） cases with irregular vaginal bleeding, 8 （20.5% ） cases were in shock, 23 （ 59.0% ） cases used an intrauterine device ; 31 （79.5% ） cases with the history of more than twice pregnancy. All 39 patients received operation. Conclusion：There is an increasing tendency of primary o varian pregnancy in recent years. The occurrence of primary ovarian pregnancy is related to use of intrauterine device and many times pregnancy and pelvic infections. The Clinician and Ultrasonologist should promote the understanding and diagnostic acuity of primary ovarian pregnancy. Operation is the first choice of primary ovarian pregnancy.

关 键 词：原发性卵巢妊娠 异位妊娠 

分 类 号：R714.222[医药卫生—妇产科学]