卵巢妊娠12例临床分析

Clinical Analysis of 12 Cases with Ovarian Pregnancy

目的探讨卵巢妊娠的病因及诊治特点,提高对卵巢妊娠的认识。方法回顾性分析我院2009年5月到2012年2月收治的12例卵巢妊娠临床病例资料。结果有人工流产史或清宫史者9例(75%),剖宫产史者2例。5例(41.7%)放置IUD。腹痛是卵巢妊娠最主要症状(100%),其中10例(83.3%)有停经史,7例(58.3%)有不规则阴道流血。术前无1例确诊,均手术治疗并经术后病理确诊。结论卵巢妊娠可能与宫腔操作、盆腔手术史、盆腔炎性疾病及使用宫内节育器有关。因其临床表现无特异性,应结合血或尿HCG及B超检查以提高术前诊断率。治疗以手术为主,确诊靠病理诊断。

Objective To investigate the etiology, diagnosis and treatment of ovarian pregnancy characteristics, and increase awareness of ovarian pregnancy. Method The retrospective analysis of 12 cases admitted to our hospital from May 2009 to February 2012, the clinical data of ovarian pregnancy. Results The history of abortion or the Qing History of 9 cases （75%）, history of cesarean section in two cases. Five cases （41.7%） Place of IUD. Abdominal pain is ovarian pregnancy （100%） of the main symptoms of which 10 cases （83.3%） a history of menopause, seven cases （58.3%） had irregular vaginal bleeding. No patient in the preoperative diagnosis of both surgery and postoperative pathological diagnosis. Conclusion Ovarian pregnancy may be associated with intrauterine operations, history of pelvic surgery, pelvic inflammatory disease and the use of IUD. Because of no specific clinical features should be combined with the blood or urine HCG and B-ultrasound in order to improve the rate of preoperative diagnosis. Therapy to surgery. Confirmed by pathological diagnosis.