右侧输卵管同时合并左侧卵巢妊娠一例暨文献复习  

Right Fallopian Tube and Left Ovarian Pregnant in the Same Time

作　　者：李辉[1,2] 谭毅[1,2] 江彩虹[1,2] 

机构地区：[1]昆明医学院第四附属医院 [2]云南省红十字会医院妇科,云南昆明650032

出　　处：《现代生物医学进展》2012年第19期3711-3713,共3页Progress in Modern Biomedicine

摘　　要：目的:总结输卵管合并卵巢妊娠的诊治经验教训和治疗方法。方法:回顾性分析我院2010年11月9日入院右侧输卵管同时合并左侧卵巢妊娠患者临床资料,B超检查,急诊腹腔镜探查术并送病理组织检查。结果:行右侧输卵管切除术+左侧卵巢囊肿剥除术+粘连分解术后病检结果为:(右输卵管)腔内变性绒毛及滋养细胞,符合异位妊娠;(左卵巢囊肿)羊膜、绒毛及滋胚叶细胞,符合异位妊娠。术后3、6和8天患者血HCG浓度水平分别为19.61ng/ml、4.47ng/ml和1.84ng/ml,术后顺利恢复出院。结论:输卵管合并卵巢妊娠发生较为罕见,极易漏诊和误诊,及时行腹腔镜探查术是有效的诊治手段。Objective： To discuss diagnosis and treatment of tubal pregnancy with ovarian pregnant in the same time.Methods：Retrospective analysis of one patient clinical data about the right tubal pregnancy and left ovarian pregnancy in November 9,2010.Results： After right salpingectomy,left ovarian cystectomy and adhesion decomposition technique,pathological examination of right tu-bal pregnancy and left ovarian pregnancy showed that they coincide ectopic pregnancy.The level of blood β-HCG in the 3th,6th and 8th day after operation were 19.61ng/ml,4.47ng/ml and 1.84ng/ml respectly.Successful recovery.Conclusion： Tubal ovarian pregnancy is rare,and easily missed and misdiagnosed,immediate surgery is an effective means of diagnosis and treatment.

关 键 词：输卵管妊娠 卵巢妊娠 Β-HCG 

分 类 号：R714.221[医药卫生—妇产科学]