特殊部位异位妊娠149例临床分析  

作　　者：曾如辉[1] 钟灿林 罗丽莉[1] 

机构地区：[1]汕头大学医学院第一附属医院妇科,广东515041

出　　处：《当代医学》2013年第32期4-6,共3页Contemporary Medicine

摘　　要：目的探讨特殊部位异位妊娠的临床特点及诊治方法。方法回顾性分析2003年1月-2011年12月汕头大学医学院第一附属医院收治的149例特殊部位异位妊娠患者的临床资料。结果特殊部位异位妊娠的发生率占同期异位妊娠的5.34%,其中输卵管间质部妊娠61例,宫角妊娠27例,子宫瘢痕14例,宫颈妊娠11例,卵巢妊娠24例,腹腔妊娠9例,残角子宫妊娠2例,阔韧带妊娠1例。其中手术治疗126例,包括腹腔镜手术23例,其余为非手术治疗。结论特殊部位异位妊娠临床表现不典型,早期诊断困难,怀疑该病时应尽早明确诊断及治疗,治疗效果良好。Objective To investigate the clinical characteristics of ectopic pregnancy at special sites,and its diagnosis and treatment. Methods The clinical data were reviewed retrospectively in 149 patients with ectopic pregnancy at special sites, who were treated in our hospital from 2003 January to 2011 December. Results 149 ectopic pregnancies at special sites were identified,accounting for 5.35% of all ectopic pregnancies diagnosed in the department at that time. Including 61 cases of Interstitial pregnancies,27 cases of corneal pregnancies,14 cases of Cesarean scar pregnancies, 11 cases of cervical pregnancies,24 cases of ovarian pregnancies,9 cases of abdominal pregnancies,2 cases of pregnancies in rudimentary horn ,and I case of broad ligament pregnancy. Surgery was performed as primary treatment for 126 patients,23 cases of which were treated by laparoscopic surgery, others were managed by non-surgery such as injection of methotrexate or uterine artery embolization. Conclusion Early diagnosis can be a challenge but is crucial in the management and outcome of patients with ectopic pregnancy at special sites.When we manage women with pregnancy of unknown location,we should exhibit a high degree of suspicion for ectopic pregnancy at special sites.

关 键 词：异位妊娠 特殊部位 临床分析 

分 类 号：R714.22[医药卫生—妇产科学]