特殊部位异位妊娠22例临床分析

Clinical analysis of 22 cases of special site ectopic pregnancy

目的探讨特殊部位异位妊娠的临床特征及误诊原因,降低误诊率。方法对1997年8月至2004年11月收治的22例特殊部位异位妊娠进行回顾性分析。结果发生率占同期异位妊娠7.8%,术前未明确诊断患病部位者73%。所有患者均剖腹探查,视术中情况行异位妊娠灶切除,必要时连同患侧附件甚至全子宫切除。结论特殊部位异位妊娠临床表现不典型,术前诊断较困难,一旦妊娠患者出现不可用常规解释之临床症状,应考虑本病,及早处理。

Objective To explore the clinical characteristics and misdiagnosis reasons of special site ectopic pregnancy. Methods Retrospective analysis was performed on 22 cases of special site ectopic pregnancy diagnosed in our hospital from August 1997 to November 2004. Results The proportion of the number of cases with special site ectopic pregnancy to the total number of synchronous ectopic pregnancy was 7.8% and the preoperative misdiagnosis rate was 73%. All the patients received emergency exploratory laparotomy. Then according to the situations at surgery, some patients received focal resection of ectopic pregnancy, and if necessary, the patients received the resection of appendix and the pan hysterectomy. Conclusion The clinical features of special site ectopic pregnancy is not typical, so it is difficult for preoperative diagnosis. If there is a suspicion of the disease, surgical exploration should be preformed earlier to get better therapeutic effect.