3例腹腔妊娠病例分析及文献回顾  

Abdominal pregnancy analysis of 3 cases and the literature review

作　　者：徐玉娟 刘娟 徐英芳 Xu Yujuan;Liu Juan;Xu Yingfang(Department of Obstetrics and Gynecology,Changshu Hospital of Traditional Chinese Medicine,Affiliated Hospital of Nanjing University of Chinese Medicine,Changshu 215500,China)

机构地区：[1]南京中医药大学附属医院/常熟市中医院妇产科,江苏常熟215500

出　　处：《实用妇科内分泌电子杂志》2022年第20期77-80,共4页Electronic Journal of Practical Gynecological Endocrinology

摘　　要：目的探讨腹腔妊娠的病因、临床症状、诊断及治疗方案。方法回顾性分析3例腹腔妊娠患者的临床资料。结果2例原发性腹腔妊娠均行腹腔镜探查,结合术中所见及术后病检确诊。1例继发性腹腔妊娠系流产型输卵管妊娠术后血β-人绒毛膜促性腺激素(β-HCG)升高,予以甲氨蝶呤杀胚治疗后血β-HCG下降明显。结论腹腔妊娠诊断困难,育龄期女性需警惕异位妊娠的特殊类型,尽早诊治,以防误诊及漏诊。Objective To investigate the cause,clinical manifestation,diagnosis and treatment strategy of abdominal pregnancy.Methods The clinical data of 3 patients with abdominal pregnancy were analyzed retrospectively.Results 2 cases of primary abdominal pregnancy were confirmed by laparoscopy,combined with intraoperative findings and postoperative examination.Blood β-HCG increased after operation in 1 case of secondary peritoneal pregnancy with abortive tubal pregnancy,and decreased significantly after embryo killing with methotrexate.Conclusion The diagnosis of abdominal pregnancy is difficult,women of childbearing age should be alert to the rare type of ectopic pregnancy and be diagnosed and treated as soon as possible to prevent misdiagnosis and missed diagnosis.

关 键 词：腹腔妊娠 大网膜妊娠 腹腔镜 

分 类 号：R714.22[医药卫生—妇产科学]