异位妊娠498例临床回顾分析

Clinical retrospective analysis on 498 cases with ectopic pregnancy

目的:总结诊治异位妊娠临床表现及治疗方法,为预防及治疗积累临床经验。方法:收集2007～2008年在该院住院诊断为异位妊娠的498例患者资料,分析临床表现、处理及观察疗效。结果:498例患者中临床表现主要为停经、腹痛及阴道流血,手术治疗411例,腹腔镜为主要手术方式,非手术治疗87例。结论:异位任娠以早诊断、早治疗临床并发症少,对育龄女性,若出现不规则阴道流血等应及时查妊娠试验,排除异位妊娠,诊断明确后以手术治疗为主。腹腔镜是异位妊娠诊断及治疗的金标准。

Objective： To summarize the clinical manifestations and treatment of ectopic pregnancy, accumulate experiences for prevention and treatment of ectopic pregnancy. Methods： Clinical data of 498 cases diagnosed as ectopie pregnancy from 2007 to 2008 in the hospital were collected, the clinical manifestations, treatment and clinical efficacy were analyzed. Results： The main clinical manifestations included menolipsis, abdominal pain and vaginal bleeding, 411 cases were treated by surgery, laparoscopy was the major operative method, and 87 cases accepted non -operative treatment. Conclusion： For the cases with ectopic pregnancy, early diagnosis and treatment may reduce the incidence of clinical complications, pregnancy test should be carried out to exclude ectopic pregnancy for the women of child - bearing age with irregular vaginal bleeding, for the women with definite diagnosis, surgery is the major therapy, laparoscopy is the golden standard for diagnosis and treatment.