论文部分内容阅读
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 features, diagnosis and treatment of ovarian pregnancy. Methods A retrospective analysis of the Third Affiliated Hospital of Sun Yat-sen from January 2003 to December 2012 admitted 45 cases of ovarian pregnancy. Results Ovarian pregnancy (OP) accounted for 3.18% of the ectopic pregnancy. Among them, 56% had artificial abortion history and 15.6% placed IUD. Abdominal pain was the most common symptom (95.6%), 84.4% had a history of menopause, and 53.3% had vaginal bleeding. No case of preoperative diagnosis, all cases underwent surgical treatment. Conclusion The etiology of ovarian pregnancy is unknown, there is no typical clinical manifestations, preoperative diagnosis difficult to improve the understanding of the disease, the full integration of blood β-HCG and B-ultrasound to improve the preoperative diagnosis rate. The preferred surgical treatment, surgical wedge resection of the ovary.