输卵管残端妊娠临床分析

Clinical analysis of residual tubal pregnancy

目的:探讨输卵管残端妊娠的诊断、治疗特点。方法:通过复习文献及所在医院的16例输卵管残端妊娠,对该病的临床表现及诊治特点进行分析。结果:16例输卵管残端妊娠发病时停经时间35～86天,以腹痛为最常见主诉,破裂型多见(12例),手术切除病灶治愈。结论:附件切除术后仍有可能发生输卵管残端妊娠,规范手术方式有助预防该病。

Objective： To find out the general characters of diagnosis and treatment of oviduct stump pregnancy. Methods： The clinical information about 16 cases of residual tubal pregnancy from published journals and the authors＇ practice were analyzed retrospectively. Results ： The durations between the first day of the last menses to the admission day ranged 35 to 86 days. And abdominal pain was the most common symptom. The ectopic lesions in most cases were ruptured. Conclusion： Residual tubal pregnancy could take place after previous adncxcctomy or salpingectomy. Proper procedure in the operation may reduce the risk.