中期阔韧带妊娠破裂一例并文献复习  

Broad Ligament Pregnancy in Mid-Term with Rupture:A Case Report and Literature Review

作　　者：王艳花 闫海燕 WANG Yan-hua;YAN Hai-yan(Department of Obstetrics and Gynecology,Pudong New Area People′s Hospital,Shanghai 201299,China)

机构地区：[1]上海市浦东新区人民医院妇产科,201299

出　　处：《国际生殖健康／计划生育杂志》2023年第5期384-386,共3页Journal of International Reproductive Health/Family Planning

基　　金：上海市浦东新区卫生健康委员会重点学科(PWZxk2022-28)。

摘　　要：阔韧带妊娠是一种罕见的特殊部位异位妊娠。回顾性分析1例中期阔韧带妊娠破裂伴失血性休克的罕见病例的临床资料,并结合文献分析总结阔韧带妊娠的临床特点和治疗方法。阔韧带妊娠患者临床表现缺乏特异性,术前确诊比较困难,常发生误诊、漏诊,大多在手术探查时被发现。若在妊娠早期确诊且患者生命体征平稳,可行腹腔镜下阔韧带妊娠病灶清除术;若在妊娠中期确诊、胎儿较大或已有腹腔内大出血、休克表现,应尽快行开腹手术,挽救患者生命,降低病死率。Broad ligament pregnancy is a rare ectopic pregnancy of a special site.This article reports a rare case of rupture of broad ligament in mid-term pregnancy with hemorrhagic shock.Reviewed its clinical data and combined with the literature,the clinical characteristics and treatment of broad ligament pregnancy were analyzed and summarized.The clinical manifestations of the patient are not specific.Preoperative diagnosis is difficult.Misdiagnosis and missed diagnosis often occur,and most of them are found in intraoperative exploration.In early pregnancy,laparoscopic broad ligament gestation lesion removal is feasible.If diagnosed in the second trimester of pregnancy,if the fetus is large,or if there is massive abdominal bleeding or shock in the abdominal cavity,laparotomy should be performed as soon as possible to save the patient′s life and reduce mortality.

关 键 词：妊娠 异位 特殊部位妊娠 阔韧带 诊断 治疗 病例报告 

分 类 号：R714.22[医药卫生—妇产科学]