卵巢妊娠45例临床分析  

Clinical analysis of 45 cases of ovarian pregnancy

作　　者：叶青剑[1] 杨越波[1] 李小毛[1] 

机构地区：[1]广州市中山大学附属第三医院妇科,510630

出　　处：《中国实用医药》2013年第23期23-24,共2页China Practical Medicine

摘　　要：目的探讨卵巢妊娠的临床特点、诊断及治疗方法。方法回顾性分析中山大学附属第三医院2003年1月至2012年12月收治的45例卵巢妊娠病例。结果卵巢妊娠(OP)占同期异位妊娠的3.18%。其中56%有人工流产史,15.6%放置宫内节育器(IUD)。腹痛是最主要的症状(95.6%),84.4%患者有停经史,53.3%出现阴道流血。无一病例术前确诊,所有病例均行手术治疗。结论卵巢妊娠病因未明,无典型的临床表现,术前确诊困难,提高对该病的认识,充分结合血β-HCG及B超检查以提高术前诊断率。首选手术治疗,术式为卵巢楔形切除术。Objective To investigate the clinical characteristics, diagnosis and treatment of ovarian pregnancy. Methods 45 cases of ovarian pregnancy in our hospital from January 2003 to December 2012 were retrospectively analyzed. Results Ovarian pregnancy accounted for 3.18% of all the ectopic pregnancy. The 56% had induced abortion, 15.6% had intrauterine contraceptive devices. The main symptom of ovarian preg- nancy is abdominal pain, 84. 4% of which had a history of menopause, 53.3% had vaginal bleeding. None of the patients were preoperative diagnosis and treated by surgery. Conclusion Ovarian pregnancy etiology was unknown. Preoperative diagnosis remain challenging because of the atypical clinical manifestation, to increase the preoperative diagnostic rate,we should improve the recognition of the disease and Combine blood ^- HCG and vagina B ultrasound. The treatment of ovarian pregnancy is mainly surgery. Preferred method is ovarian wedge resection.

关 键 词：卵巢妊娠 临床特征 卵巢楔形切除术 

分 类 号：R714.22[医药卫生—妇产科学]