卵巢妊娠48例回顾性分析  

Clinical analysis of 48 cases of ovarian pregnancy

作　　者：周明[1] 郭蓉[1] 刘娓娓[1] 罗忆[1] 张雯娟[1] 

机构地区：[1]深圳市第五人民医院妇产科,广东深圳518001

出　　处：《现代预防医学》2012年第21期5565-5566,共2页Modern Preventive Medicine

摘　　要：目的探讨卵巢妊娠的病因、临床特征、诊断及治疗方法。方法对深圳市第五人民医院2005年12月～2012年1月收治的48例卵巢妊娠临床资料进行回顾性分析。结果卵巢妊娠占同期异位妊娠的1.37%,其中68.8%有人工流产史,27.1%有腹部手术史,18.8%放置宫内节育器,8.3%为体外受精-胚胎移植术后。卵巢妊娠主要症状是腹痛(93.8%),77.1%有停经史,35.4%有阴道流血,39.6%出现晕厥休克。仅2例患者术前确诊,所有患者均手术治疗,其中39例行腹腔镜手术。结论卵巢妊娠近年来发病呈上升趋势,与宫腔操作、盆腔炎、腹部手术、体外受精-胚胎移植术及放置宫内节育器有关。因临床表现缺乏特异性,术前很难诊断。治疗以手术为主。腹腔镜手术具有创伤小,出血少,术后恢复快,住院时间短的特点,是安全、有效的治疗方法,值得推广。OBJECTIVE To discuss the etiological factor,clinical characteristics,diagnosis and treatment methods of ovarian pregnancy.METHODS 48 cases of ovarian pregnancy in our hospital between 2005 and 2012 were retrospectively analyzed.RESULTS The cases of ovarian pregnancy accounted for 1.37% in ectopic pregnancies.68.8% of ovarian pregnancy had induced abortion,27.1% had abdomen surgery,18.8% had intrauterine contraceptive devices,8.3% with IVF-ET.93.8% cases presented with abdomen pain,77.1% cases with the history of amenorrhea,35.4% cases with irregular vaginal bleeding,39.6% cases in shock.All 48 patients received operation,39 cases accepted laparoscopic surgery.CONCLUSION There is an increasing tendency of ovarian pregnancy in recent years.The occurrence of ovarian pregnancy is related to induced abortion,intrauterine contraceptive devices,IVF-ET and abdomen surgery.Ovarian pregnancy is not easy to be diagnosed before operation.Surgery is the main treatment of ovarian pregnancy.Uterine curettage under the guidance of hysteroscopy is safe and effective,with the advantage of minimal invasion,less blood loss and fast recovery.

关 键 词：卵巢妊娠 病因 临床特征 腹腔镜手术 

分 类 号：R714.222[医药卫生—妇产科学]