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目的深入探讨卵巢妊娠的临床特征和诊治特点,进一步提高卵巢妊娠的术前诊断水平。方法回顾性分析我院2008年—2013年间24例确诊卵巢妊娠患者的临床资料。结果卵巢妊娠的临床表现与输卵管妊娠极为相似,有停经史、腹痛明显、后穹窿穿刺阳性,但无明显阴道流血史,均为卵巢妊娠破裂型。结论卵巢妊娠术前诊断率极低,需结合血HCG水平和B超检查,手术是主要确诊方法。
Objective To investigate the clinical features and diagnosis and treatment of ovarian pregnancy in order to further improve the preoperative diagnosis of ovarian pregnancy. Methods The clinical data of 24 confirmed ovarian pregnancies in our hospital from 2008 to 2013 were retrospectively analyzed. Results The clinical manifestations of ovarian pregnancy were very similar to those of tubal pregnancy with history of menopause, abdominal pain and posterior fornix puncture but no history of vaginal bleeding. All were ovarian pregnancy rupture. Conclusion Preoperative diagnosis of ovarian pregnancy is very low, need to combine blood HCG levels and B-ultrasound, surgery is the main method of diagnosis.