持续性异位妊娠13例分析

Clinical analysis of 13 cases with persistent ectopic pregnancy

目的: 探讨妇科异位妊娠术后持续性异位妊娠发生的原因、高危因素、诊断、治疗及预防措施。方法: 回顾性分析 13例持续性异位妊娠的临床特点、诊断、治疗的方法。结果: 发生持续性异位妊娠的高危因素是停经天数、β-HCG水平、手术方式等, 其中以保留患侧输卵管最为关键, 动态观察血β-HCG水平, 可早期发现持续性异位妊娠, 腹腔镜手术是治疗持续性异位妊娠的有效方法。结论: 对于具有持续性异位妊娠高危因素的异位妊娠患者, 术后应加强血β-HCG水平的监测, 对有症状PEP, 建议及早手术治疗。

Objective:To study the cause, high risk factors, diagnosis, treatment and prevention of persistent ectopic pregnancy (PEP) after operation.Methods:The clinical characteristics, the methods of diagnosis and treatment of 13 cases with PEP were retrospectively analyzed.Results:Menolipsis durations, serum β-HCG levels, the operative methods and ect, were high risk factors for PEP.Conservative operations may be the main reason. Measuring the level of serumβ-HCG could detect early PEP.Laparoscopic operation was a better treatment for PEP.Conclusion:For those PEP patients with high-risk factors for persistent ectopic pregnancy, the screening of serumβ-HCG after operation should be strengthened. The patients with symptoms should be timely treated by operation.