少见部位异位妊娠16例临床分析

    Clinical analysis of special-site ectopic pregnancy: A report of 16 cases

    • 摘要: 目的: 探讨少见部位异位妊娠的临床特征、早期诊断及处理。方法: 回顾性分析16例少见部位异位妊娠的临床资料。结果: 少见部位异位妊娠主要包括子宫角妊娠、输卵管间质部妊娠、卵巢妊娠、子宫颈妊娠、腹腔妊娠、残角子宫妊娠和宫内宫外同时妊娠。其发生率占同期异位妊娠的4.90%,主要症状以腹痛、停经、阴道流血为主。所有患者均经手术治疗,且预后良好。结论: 少见部位异位妊娠是严重危及妇女健康的急腹症,早期临床表现不典型,易误诊和漏诊。一旦确诊,应立即手术。

       

      Abstract: Objective: To investigate the clinical features,early diagnosis and treatment of special-site ectopic pregnancy(SEP).Methods: The clinical data of 16 cases with SEP were reviewed.Results: The SEP in the study included cornual pregnancy,interstitial tubal pregnancy,varian pregnancy,cervical pregnancy,abdominal pregnancy and rudimentary horn of uterus pregnancy.The incidence of SEP accounted for 4.90% of the ectopic pregnancy and the main clinical symptoms of SEP were abdominal pain,menopause and vaginal bleeding.All the cases (16 cases) were treated by surgery,and the prognosis was good.Conclusions: SEP causes acute abdomen pain and damages the health of pregnant woman greatly.The clinical manifestations of SEP in the early period are atypical.Once the diagnosis is made,surgery should be performed immediately.

       

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