陈旧性宫外孕的诊治

Diagnosis and Treatment of Chronic Ectopic Pregnancy

陈旧性宫外孕因其病程长、症状不典型、妊娠试验阴性率高,易误诊为盆腔包块、卵巢肿瘤等。本文通过对56例陈旧性宫外孕的研究表明,该病的发生率为异位妊娠的24.7％,在与发病有关的因素中,放置宫内节育器(IUD)占42.9％,流产占62.5％。主要临床表现为不规则的阴道流血伴不同程度的下腹痛,91％有大小不一的盆腔包块。辅助检查中以后穹窿穿刺与B超敏感性高。对陈旧性宫外孕的治疗宜以手术为主。

Chronic ectopic pregnancy was often misdiagnosed as pelvic mass, ovarian neoplasmas, et al, because of it's chronicity of symptoms and high incidence of negative pregnancy tests. 56 patients with chronic ectopic pregnancy were reviewed retrospectively. Approximately 24.7% of 227 ectopic pregnancies was chronic. Main causes might be IUD (42.9%)and abortions (62.5%). The chief complaints were lower abdominal pain and persistent vaginal bleeding (80%). Pelvic mass was palpated (91%). Culdocentesis and ultrasound scanning are helpful diagnostic aids. Treatment is eventually operative intervention.